Active NPI
William Dennis Martin III, M.D.
- Pediatrics Physician
- Beaufort, SC
National Provider Identifier
1851326276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20510
- Practice address
- 964 Ribaut Rd
Suite 1
Beaufort, SC 29902-5429 - Phone
- (843) 524-5437
- Fax
- (843) 524-0425
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20510 | SC | Primary |
Addresses
Primary practice location
964 Ribaut Rd
Suite 1
Beaufort, SC 29902-5429
Mailing address
964 Ribaut Rd
Suite 1
Beaufort, SC 29902-5429
Phone (843) 524-5437
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)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Pediatrics, P.a. | Past | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients |
Interoperability endpoints
- william.martin.iii.1@15816.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Beaufort, SC
- NPI 1720140825
-
- Pediatric Adolescent Medicine Physician
- Beaufort, SC
- NPI 1467413641
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851326276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 RIBAUT RD",
"address_2": "SUITE 1",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025429",
"telephone_number": "843-524-5437",
"fax_number": "843-524-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 RIBAUT RD",
"address_2": "SUITE 1",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025429",
"telephone_number": "843-524-5437",
"fax_number": "843-524-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "WILLIAM",
"middle_name": "DENNIS",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "20510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.