Individual provider Active NPI

Christina Bashnan Martin, N.P.

  • Family Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1639110299
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN2191 Issued in SC
Practice address
400 Constance St
Walterboro, SC 29488-2710
Phone
(843) 549-9568
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN2191 SC Primary

Addresses

Primary practice location

400 Constance St
Walterboro, SC 29488-2710

Mailing address

302 Medical Park Dr Ste 211
Walterboro, SC 29488-5749
Phone (843) 549-9568

Other practice location 1

302 Medical Park Dr Ste 211
Walterboro, SC 29488-5749
Phone (843) 549-9568

Other identifiers 1

IdentifierTypeStateIssuer
NP0473MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address christina.martin2@hcahealthcare.com Direct
Direct Messaging Address CHRISTINA.MARTIN@hca5.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000692 SC Practitioner - Nurse Practitioner 0749324010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 549-1421

302 Medical Park Dr
Walterboro, SC 29488-5749

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
78.15
Promoting interoperability
98
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2191SCMDChiropractor
APN2191SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC CurrentSince May 1, 2016 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

302 Medical Park Dr
Ste 211
Walterboro, SC 29488
Phone (843) 549-9568

400 Constance St
Walterboro, SC 29488
Phone (843) 549-2578

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: christina.martin@hca5.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1639110299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR STE 211",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885749",
            "telephone_number": "843-549-9568",
            "fax_number": "843-549-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONSTANCE ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882710",
            "telephone_number": "843-549-9568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Medical Park Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294885749",
            "country_code": "US",
            "telephone_number": "843-549-9568",
            "fax_number": "843-549-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTINA",
        "middle_name": "BASHNAN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0473",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.martin2@hcahealthcare.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "302 Medical Park Dr Ste 211",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294885749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRISTINA.MARTIN@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "302 Medical Park Dr Ste 211",
            "city": "Walterboro",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294885749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.