Jordan Martinec

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2169 W Point Rd
Lagrange, GA 30240-4002

Phone

(706) 668-5140

Fax

(706) 668-5142

NPI assigned

Apr 28, 2015

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgencare, LLCGroup PAC ID 7113250325, 18 clinicians

Livwell Health LLCGroup PAC ID 0648643593, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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

• Urgencare, LLC

  • Urgent Care Clinic/Center
  • Lagrange, GA
  • NPI 1598223844

  AL

  Medicare reassignment Care Compare group Authorized official
• Livwell Health LLC

  • Family Medicine Physician
  • Lagrange, GA
  • NPI 1689383671
  Medicare reassignment Care Compare group
• Emergency Group of Columbus, LLC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1316458227
  Medicare reassignment NPD
• Heritage Physician Services, LLC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1003321969
  Medicare reassignment NPD
• Lagrange Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lagrange, GA
  • NPI 1760437560
  Medicare reassignment
• Miller Family Medicine Clinic, P.C.

  • Family Medicine Physician
  • Hamilton, GA
  • NPI 1124104187
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1679950729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404002",
            "telephone_number": "706-668-5140",
            "fax_number": "159-822-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 W POINT RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404002",
            "telephone_number": "706-668-5140",
            "fax_number": "706-668-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Vernon Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "30240",
            "country_code": "US",
            "telephone_number": "706-882-1411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Samglenn Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368306549",
            "country_code": "US",
            "telephone_number": "334-752-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 S College St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "GA",
            "postal_code": "318115306",
            "country_code": "US",
            "telephone_number": "706-801-0251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEC",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric D Marks Sr., D.TH, M.TH, CTC, CPC
• Susan L Marshall, LPC
• Tiffany Marshall, RN, MSN
• Gaynell Galt Martin, FNP
• Wilbert Martin Jr.
• Carrie Ann Mashburn
• Claude Mask III, RD
• Ratoya Mason
• Shawn Bell Mathews, M.D.
• Julie Dean Matsunaga, PHD, LPC

• Physician Assistant in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.