Mary Mallory Martin, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-137813 Issued in AL

Practice address

3400 Highway 78 E Ste 412
Jasper, AL 35501-8952

Phone

(205) 384-3013

Fax

(205) 384-3078

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Merit-based Incentive Payment System (MIPS)

Final score

85.07 of 100Reported as group

Quality

80.62

Promoting interoperability

100

Improvement activities

40

Cost

69.6

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment Care Compare group NPD
• Baptist Health Centers LLC

  dba Baptist Health Medical Group

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• Baptist Health Centers, LLC

  • Family Medicine Physician
  • Talladega, AL
  • NPI 1184688244
  NPD

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

• BBH WBMC, LLC

  dba Baptist Health Walker Hospital

  • General Acute Care Hospital
  • Jasper, AL
  • NPI 1932553385
  Care Compare affiliation

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1598286072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 EAST",
            "address_2": "SUITE 412",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014718",
            "telephone_number": "205-384-3013",
            "fax_number": "205-384-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E STE 412",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018952",
            "telephone_number": "205-384-3013",
            "fax_number": "205-384-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARY",
        "middle_name": "MALLORY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137813",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-137813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Ellen Manasco, PHARM-D
• Manora Wellness Group, LLC
• Joseph V Marino, MD
• Gwendolyn Wade Martin, RPH
• Isaiah Kindrick Martin, ALC
• Robert Martin, MS
• Alan Clayton McCool, M.D.
• Dana McCullar, CRNP
• Daniel Kirk McDonald, M.D.
• Bruce Campbell McFadden, PA

• Nurse Practitioner in Jasper, AL
• Providers in Jasper, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.