Individual provider Active NPI

Frank Foster Martin, MD FACP

  • Gastroenterology Physician
  • Sumter, SC
National Provider Identifier
1619983798
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04813 Issued in SC
Practice address
407 N Salem Ave
VA Outpatient Clinic
Sumter, SC 29150-4115
Phone
(803) 776-4000
Fax
(803) 938-9905
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04813 SC Primary

Addresses

Primary practice location

407 N Salem Ave
VA Outpatient Clinic
Sumter, SC 29150-4115

Mailing address

407 N Salem Ave
Sumter, SC 29150-4115
Phone (803) 776-4000

Other identifiers 2

IdentifierTypeStateIssuer
004813OtherSCSC LIC NUMBER
048139MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131205001584 SC Practitioner - Internal MedicinePractitioner - Gastroenterology 0648417980 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04813SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC CurrentSince Jan 15, 2017 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2015 Accepting new patients
Internal Medical Associates, PA Gastroenterology PastSince May 14, 2016 Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619983798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N SALEM AVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504115",
            "telephone_number": "803-776-4000",
            "fax_number": "803-938-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N SALEM AVE",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504115",
            "telephone_number": "803-776-4000",
            "fax_number": "803-938-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "FRANK",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "credential": "MD FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "04813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LIC NUMBER",
            "identifier": "004813",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048139",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.