Active NPI
James Thomas Martin Jr., M.D.
- Obstetrics & Gynecology Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 9818
- Practice address
- 9213 A. University Blvd.
Trident Executive Village
North Charleston, SC 29406-9145 - Phone
- (843) 572-7123
- Fax
- (843) 572-7350
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9818 | SC | Primary |
Addresses
Primary practice location
9213 A. University Blvd.
Trident Executive Village
North Charleston, SC 29406-9145
Mailing address
9213 University Blvd Ste a
Trident Executive Village
North Charleston, SC 29406-9145
Phone (843) 572-7123
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679524888 | Other | SC | NPI |
| 098183 | Medicaid | SC | |
| GP4430 (474430) | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical University of South Carolina College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9213 University Blvd
Suite a
North Charleston, SC 29406-9145
Phone (843) 572-7123
Hospital & facility affiliations
- Trident Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9818 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Obstetrics & Gynecology | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| James T. Martin Jr. MD | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260
9213 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 569-2900
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Interoperability endpoints
- martin@jmartin.gwaydirect.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.654
Organizations & group practices 4
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.
-
- Specialist
- North Charleston, SC
- NPI 1679524888
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Family Medicine Physician
- Summerville, SC
- NPI 1083093090
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1659345494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9213 UNIVERSITY BLVD STE A",
"address_2": "TRIDENT EXECUTIVE VILLAGE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069145",
"telephone_number": "843-572-7123",
"fax_number": "843-572-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9213 A. UNIVERSITY BLVD.",
"address_2": "TRIDENT EXECUTIVE VILLAGE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069145",
"telephone_number": "843-572-7123",
"fax_number": "843-572-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAMES",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "9818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1679524888",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098183",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4430 (474430)",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.