Jeffrey Wayne Martin, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

49856 Issued in TN

Practice address

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Phone

(865) 983-7211

NPI assigned

Jul 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Emergency Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middle Tennessee Emergency Physicians, P.C.Group PAC ID 3678464526, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Middle Tennessee Emergency Physicians PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1194758979
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  dba Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1699709428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MARKET SQ STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379021424",
            "telephone_number": "865-919-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-983-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "49856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4040054",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Clair Marsh, CFNP
• Joseph Scott Marsh, D.C.
• Marilyn H Marshall, M.A., CCC-SLP
• Rae Allen Marsmaker
• James William Martin Jr.
• John Thomas Martin, RPH
• Katherine J Martin, MSN, CPNP
• Rebecca P Martin
• Stephenie Ann Martin, B.S.
• Tracy Dale Martin, PT, ATC

• Emergency Medicine Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.