Individual provider Active NPI

Morgan Read Martin, MD

  • Family Medicine Physician
  • Jacksonville, AL
National Provider Identifier
1700464732
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.45158 Issued in AL
Practice address
1642 Pelham Rd S Ste a
Jacksonville, AL 36265-3312
Phone
(256) 365-1099
Fax
(256) 365-1052
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD.45158 AL Primary

Addresses

Primary practice location

1642 Pelham Rd S Ste a
Jacksonville, AL 36265-3312

Mailing address

625 19TH St S
Birmingham, AL 35233-1900

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (256) 551-4621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240701001338 AL Practitioner - Family Practice 2769926872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1642 Pelham Rd S
Suite a
Jacksonville, AL 36265-3312
Phone (256) 365-1099

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Oxford, AL, CCN 017151
  • Prohealth Home Health, LLC Home health agency, Huntsville, AL, CCN 017178
  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046
  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Primary Care, LLC Family Medicine CurrentSince May 5, 2024 Accepting new patients
Allergy & Family Medicine, PC Family Medicine PastSince Jun 16, 2024 Accepting new patients

Locations

1642 Pelham Rd S
#A
Jacksonville, AL 36265
Phone (256) 365-1099

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGAFDD/Endpoint/HGAFDD

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1700464732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 PELHAM RD S STE A",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653312",
            "telephone_number": "256-365-1099",
            "fax_number": "256-365-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "256-551-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MORGAN",
        "middle_name": "READ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.45158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.