Angela M Martin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

00013331 Issued in AL

Practice address

304 E 4TH St
Anniston, AL 36207-6012

Phone

(256) 237-1184

Fax

(256) 237-8400

NPI assigned

Sep 19, 2006

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
• Direct secure messaging: angela.martin@pedcacent.direct.medconnect-inc.com

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.

• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1780781211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BATTLE ST E",
            "address_2": "SUITE B",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602420",
            "telephone_number": "256-368-9800",
            "fax_number": "256-237-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 4TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076012",
            "telephone_number": "256-237-1184",
            "fax_number": "256-237-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00013331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083412",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mangham
• Natalie R Maniscalco, RDN, LD
• Amanda Marable
• Michael Edward Marks, M.D., P.H.D.
• Amie Marsh, O. D.
• Judson A Martin, CRNP
• Kelli B Martin, CRNP
• Meredith Stovall Martin, CRNP
• Regina Martin, CRNP
• Patricia Rexine Mason, D.M.D.

• Pediatrics Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.