Active NPI
James A Martin, MD
- Family Medicine Physician
- Fenton, MI
National Provider Identifier
1841260817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301022219
- Practice address
- 102 N Adelaide St
Fenton, MI 48430-2670 - Phone
- (810) 629-2245
- Fax
- (810) 629-6535
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301022219 | MI | Primary |
Addresses
Primary practice location
102 N Adelaide St
Fenton, MI 48430-2670
Mailing address
11398 Oregon Cir
Fenton, MI 48430-2496
Phone (810) 629-7052
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116870 | Medicaid | MI | |
| 0255600 | Other | MI | BLUE CROSS & BCN ID # |
| 0856001 | Other | MI | HEALTHPLUS ID # |
| C2331 | Other | MI | MCARE ID # |
| 1002568 | Other | MI | MCLAREN HEALTH PLAN ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301022219 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fenton Medical Center | Family Medicine | Current | Accepting new patients |
Locations
102 N Adelaide St
Fenton, MI 48430
Phone (810) 629-2245
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHIEAD
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.
-
- Family Medicine Physician
- Fenton, MI
- NPI 1134165632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841260817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11398 OREGON CIR",
"city": "FENTON",
"state": "MI",
"postal_code": "484302496",
"telephone_number": "810-629-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N ADELAIDE ST",
"city": "FENTON",
"state": "MI",
"postal_code": "484302670",
"telephone_number": "810-629-2245",
"fax_number": "810-629-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAMES",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301022219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1116870",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BCN ID #",
"identifier": "0255600",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS ID #",
"identifier": "0856001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE ID #",
"identifier": "C2331",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN ID #",
"identifier": "1002568",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.