NPIMap

Individual provider Active NPI

Jerry K Martin Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Amory, MS
National Provider Identifier
1831184332
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16529 Issued in MS
Practice address
900 Earl Frye Blvd Ste a
Amory, MS 38821-5507
Phone
(662) 256-9331
Fax
(662) 597-6008
NPI assigned
Sep 12, 2005
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16529 MS Primary

Addresses

Primary practice location

900 Earl Frye Blvd Ste a
Amory, MS 38821-5507

Mailing address

900 Earl Frye Blvd Ste a
Amory, MS 38821-5507
Phone (662) 256-9331

Other identifiers 1

IdentifierTypeStateIssuer
00125758MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000931 MS Practitioner - Obstetrics/Gynecology 0244301760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pands Clinic OB-GYN, PLLCGroup PAC ID 5890896252, 15 clinicians

Practice addresses (Care Compare)

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507
Phone (662) 256-9331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16529MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Sep 30, 2019 Accepting new patients
WMC Emergency Services LLC CurrentSince May 1, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
P & S Clinic OB-GYN PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2020 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Sep 30, 2019 Accepting new patients
Alliance Healthcare System CurrentSince Feb 6, 2018 Accepting new patients
Alliance Healthcare System Inc Current Accepting new patients
Alliance Healthcare System, Inc CurrentSince Feb 6, 2018 Accepting new patients
Alliance Healthcare System, Inc Past Accepting new patients
Monroe Health Services, Inc. Past Accepting new patients

Locations

900 Earl Frye Blvd
Ste A
Amory, MS 38821
Phone (662) 256-9331

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

255 Medical Center Dr
Ste A
Batesville, MS 38606
Phone (662) 234-9888

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

1430 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1212

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/allihcs-9d312177
  • Direct secure messaging: jerry.martin.1@15070.direct.athenahealth.com
  • Direct secure messaging: jerry.martin.1@20688.direct.athenahealth.com
  • Direct secure messaging: jerrymartin@nmhs.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1831184332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD STE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD STE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-597-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JERRY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "16529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125758",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.