Individual provider Active NPI

Murphy S Martin, MD

  • Nephrology Physician
  • Jackson, MS
National Provider Identifier
1801971908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13968 Issued in MS
Practice address
1513 Lakeland Drive
Suite 200
Jackson, MS 39216
Phone
(601) 981-1610
Fax
(601) 366-2887
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 13968 MS Primary

Addresses

Primary practice location

1513 Lakeland Drive
Suite 200
Jackson, MS 39216

Mailing address

PO Box 55669
Jackson, MS 39296-5669
Phone (601) 981-1610

Other identifiers 1

IdentifierTypeStateIssuer
00113580MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20091119000123 MS Practitioner - Nephrology 8729996764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy S. Martin, M.D., PLLCGroup PAC ID 4688712243, 8 clinicians

Practice addresses (Care Compare)

1600 N State St
Suite 200
Jackson, MS 39202-1689
Phone (601) 326-3900

Hospital & facility affiliations

  • FMC Southwest Jackson Home Dialysis facility, Jackson, MS, CCN 252576
  • FMC Dialysis Services of Rankin County Dialysis facility, Brandon, MS, CCN 252568
  • FMC Mid Mississippi Dialysis facility, Jackson, MS, CCN 252590
  • FMC Kosciusko Dialysis facility, Kosciusko, MS, CCN 252548
  • FMC Jackson Dialysis facility, Jackson, MS, CCN 252505
  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336
  • Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
  • Baptist Medical Center-Yazoo Hospital, Yazoo City, MS, CCN 251313
  • Magee General Hospital Hospital, Magee, MS, CCN 250124

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy S. Martin, M.D., PLLC Nephrology CurrentSince Jun 10, 2009 Accepting new patients

Locations

381 Medical Dr
Jackson, MS 39216
Phone (601) 981-1610

1600 N State St
Ste 200
Jackson, MS 39202
Phone (601) 326-3900

Interoperability endpoints

  • Direct secure messaging: mmartin149507@direct.bmhcc.org

Organizations & group practices 1

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 11

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801971908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55669",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392965669",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 LAKELAND DRIVE",
            "address_2": "SUITE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MURPHY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113580",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.