Individual provider Active NPI

James William Martin, MD

  • Family Medicine Physician
  • Covington, TN
National Provider Identifier
1790775518
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34810 Issued in TN
Practice address
1995 Highway 51 S
Suite 101
Covington, TN 38019-3635
Phone
(901) 476-7371
Fax
(901) 476-7372
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34810 TN Primary
Family Medicine Physician 207Q00000X 34955 KY

Addresses

Primary practice location

1995 Highway 51 S
Suite 101
Covington, TN 38019-3635

Mailing address

1995 Highway 51 S
Covington, TN 38019-3635
Phone (901) 476-7371

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050706000143 TN Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0244275675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
East Tennessee State University Quillen College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James W Martin MD LLCGroup PAC ID 4880639210, 2 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Suite 101
Covington, TN 38019-3654
Phone (901) 476-7371

Hospital & facility affiliations

  • Beacon Home Health Home health agency, Memphis, TN, CCN 447277
  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James W Martin MD LLC Family Medicine CurrentSince Jul 15, 2005 Accepting new patients

Locations

1995 Highway 51 S
Ste 105
Covington, TN 38019
Phone (901) 476-7371

1995 Highway 51 S
Ste 101
Covington, TN 38019
Phone (901) 476-7371

Interoperability endpoints

  • Direct secure messaging: jmartin27520@mlh.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIAAA

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 7

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790775518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-476-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 S",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-476-7371",
            "fax_number": "901-476-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34810",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

Verify at the official NPI Registry.