NPIMap

Individual provider Active NPI

Jonathan Eric Marston, MD

  • Family Medicine Physician
  • Farmville, VA
National Provider Identifier
1841376720
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101054648 Issued in VA
Practice address
833 Buffalo St Ste 200
Farmville, VA 23901-1111
Phone
(434) 392-8177
Fax
(434) 392-8272
NPI assigned
Oct 31, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101054648 VA Primary

Addresses

Primary practice location

833 Buffalo St Ste 200
Farmville, VA 23901-1111

Mailing address

12522 W. Colonial Trail Hwy.
PO Box 528
Crewe, VA 23930
Phone (434) 645-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080620000064 VA Practitioner - Family Practice 3173694056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

833 Buffalo St
Farmville, VA 23901-1111
Phone (434) 392-8177

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
0101054648VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Crewe Medical Center Inc Family Medicine CurrentSince Jan 2, 2008 Accepting new patients
Central Virginia Health Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients
Crewe Medical Center Family Medicine PastSince Jan 2, 2008 Accepting new patients

Locations

12522 W Colonial Trail Hwy
Crewe, VA 23930
Phone (434) 645-9191

833 Buffalo St
Farmville, VA 23901
Phone (434) 392-8177

833 Buffalo St
Ste 200
Farmville, VA 23901
Phone (434) 392-8117

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFEBA

Organizations & group practices 6

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1841376720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 W. COLONIAL TRAIL HWY.",
            "address_2": "PO BOX 528",
            "city": "CREWE",
            "state": "VA",
            "postal_code": "23930",
            "telephone_number": "434-645-9191",
            "fax_number": "434-645-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BUFFALO ST STE 200",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011111",
            "telephone_number": "434-392-8177",
            "fax_number": "434-392-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101054648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.