Individual provider Active NPI

Jeffrey Don Martin, GFNP

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1669612412
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
595799 Issued in TX
Practice address
7003 Woodway Dr
Suite 311
Waco, TX 76712-6170
Phone
(254) 537-6000
Fax
(254) 537-6001
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 595799 TX Primary

Addresses

Primary practice location

7003 Woodway Dr
Suite 311
Waco, TX 76712-6170

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090420000198 TX Practitioner - Nurse Practitioner 1254488869 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
595799TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians-II, P.a. CurrentSince Apr 1, 2017 Accepting new patients
Healthnow Urgent Care Inc CurrentSince Apr 24, 2020 Accepting new patients
Frisco Emergency Medicine Associates, PA Past Accepting new patients

Locations

207 I 35 Hwy NW
Hillsboro, TX 76645
Phone (254) 332-1709

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

200 N San Jacinto St
Whitney, TX 76692
Phone (254) 332-0123

Interoperability endpoints

  • Direct secure messaging: jeff.martin.1@9635.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1669612412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-537-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR",
            "address_2": "SUITE 311",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126170",
            "telephone_number": "254-537-6000",
            "fax_number": "254-537-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "DON",
        "credential": "GFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "595799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.