Individual provider Active NPI

Donald C Martin Jr., M.D.

  • Specialist
  • Guntersville, AL
National Provider Identifier
1720069230
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00015004 Issued in AL
Practice address
5903 Spring Cir
Guntersville, AL 35976-2811
Phone
(256) 505-6826
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00015004 AL Primary

Addresses

Primary practice location

5903 Spring Cir
Guntersville, AL 35976-2811

Mailing address

5903 Spring Cir
Guntersville, AL 35976-2811
Phone (256) 505-6826

Other identifiers 2

IdentifierTypeStateIssuer
A082362796OtherALINDIVIDUAL MEDICARE NUMBER
241246MedicaidAL

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
I20050103000963 AL Practitioner - Orthopedic Surgery 2062470347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Alabama College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11491 US Hwy 431
Suite D
Albertville, AL 35950-0137
Phone (256) 505-6826

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue240
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00015004ALMDSpecialist
15004ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Wound Care LLC Specialist CurrentSince Oct 1, 2019 Accepting new patients
Mountain Lake Orthopedics Past Accepting new patients

Locations

11491 US Highway 431
Albertville, AL 35950
Phone (256) 894-6700

11491 US Highway 431
Ste D
Albertville, AL 35950
Phone (256) 498-1006

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 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1720069230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 SPRING CIR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762811",
            "telephone_number": "256-505-6826",
            "fax_number": "256-571-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 SPRING CIR",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762811",
            "telephone_number": "256-505-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DONALD",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00015004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE NUMBER",
            "identifier": "A082362796",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241246",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.