NPIMap

Individual provider Active NPI

James F Martin Jr., MD

  • Family Medicine Physician
  • Elgin, SC
National Provider Identifier
1588622641
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13700 Issued in SC
Practice address
566 Spears Creek Church Rd
Suite 102
Elgin, SC 29045-9316
Phone
(803) 788-6201
NPI assigned
May 1, 2006
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13700 SC Primary

Addresses

Primary practice location

566 Spears Creek Church Rd
Suite 102
Elgin, SC 29045-9316

Mailing address

566 Spears Creek Church Rd
Suite 102
Elgin, SC 29045-9316
Phone (803) 788-6201

Other identifiers 1

IdentifierTypeStateIssuer
137006MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000012 SC Practitioner - Family Practice 2365426335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

566 Spears Creek Church Rd
Suite 102
Elgin, SC 29045-8128
Phone (803) 788-6201

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue16
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13700SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J Frank Martin Jr MD LLC Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients

Locations

109 Barton Creek Ct
Columbia, SC 29229
Phone (803) 256-2286

566 Spears Creek Church Rd
Ste 102
Elgin, SC 29045
Phone (803) 788-6201

Interoperability endpoints

  • Direct secure messaging: james.martin.1@14416.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1588622641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 SPEARS CREEK CHURCH RD",
            "address_2": "SUITE 102",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459316",
            "telephone_number": "803-788-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 SPEARS CREEK CHURCH RD",
            "address_2": "SUITE 102",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459316",
            "telephone_number": "803-788-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137006",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

Verify at the official NPI Registry.