Individual provider Active NPI

Jennifer Catherine Martin, MD

  • Dermatology Physician
  • Brentwood, TN
National Provider Identifier
1740717677
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
75067 Issued in TN
Practice address
1195 Old Hickory Blvd Ste 202
Brentwood, TN 37027-4239
Phone
(615) 835-3220
Fax
(615) 835-3235
NPI assigned
May 23, 2017
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 75067 TN Primary

Addresses

Primary practice location

1195 Old Hickory Blvd Ste 202
Brentwood, TN 37027-4239

Mailing address

1195 Old Hickory Blvd Ste 200
Brentwood, TN 37027-4239
Phone (615) 835-3220

Other practice location 1

155 Covey Dr Ste 200
Franklin, TN 37067-6008
Phone (615) 835-3220

Other names 1

  • Jennifer Catherine Nergard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220906003409 TX Practitioner - Dermatology 8628452935 Reassigns benefits to 1 organization
I20250827003680 TN Practitioner - Dermatology 8628452935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Univ of Central Florida, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ren Dermatology, PLLCGroup PAC ID 2365677986, 6 clinicians
Elite Dermatology, PLLCGroup PAC ID 8729345285, 26 clinicians

Practice addresses (Care Compare)

155 Covey Dr
Suite 200
Franklin, TN 37067-6008
Phone (615) 835-3220

1930 Pearland Pkwy
Suite 154
Pearland, TX 77581-5379
Phone (281) 816-5503

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions229
Skin biopsy44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75067TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ren Dermatology PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Elite Dermatology, PLLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Elite Derm Services, PLLC Single Specialty CurrentSince Dec 22, 2024 Accepting new patients
Hughston Clinic, P.C. Single Specialty Past Accepting new patients

Locations

1195 Old Hickory Blvd
Ste 200
Brentwood, TN 37027
Phone (615) 370-7905

1195 Old Hickory Blvd
Ste 202
Brentwood, TN 37027
Phone (615) 377-8077

155 Covey Dr
Ste 200
Franklin, TN 37067
Phone (615) 835-3220

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

20326 State Highway 249
Ste 400
Houston, TX 77070
Phone (281) 501-5599

4603 FM 1463 Rd
Ste 100
Katy, TX 77494
Phone (281) 612-0050

1930 Pearland Pkwy
Ste 154
Pearland, TX 77581
Phone (281) 816-5503

Interoperability endpoints

  • FHIR API: https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: jmart@elitedermatology.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1740717677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Covey Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676008",
            "country_code": "US",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "75067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NERGARD",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.