NPIMap

Individual provider Active NPI

Elizabeth McKelvey Martin, M.D.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1851405005
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040477 Issued in GA
Practice address
2401 Brookstone Centre Pkwy BLDG 200
Columbus, GA 31904-4501
Phone
(706) 256-0700
Fax
(706) 256-0708
NPI assigned
Aug 17, 2006
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 040477 GA Primary

Addresses

Primary practice location

2401 Brookstone Centre Pkwy BLDG 200
Columbus, GA 31904-4501

Mailing address

2401 Brookstone Centre Pkwy BLDG 200
Columbus, GA 31904-4501
Phone (706) 256-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20041208000267 GA Practitioner - Family Practice 5294716262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2401 Brookstone Centre Pkwy
Suite 200
Columbus, GA 31904-4501
Phone (706) 256-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Past Accepting new patients

Locations

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

2401 Brookstone Centre Pkwy
Bldg 200
Columbus, GA 31904
Phone (706) 256-0700

2401 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 256-0700

6801 River Rd
Ste 101
Columbus, GA 31904
Phone (706) 320-8625

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

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 7

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1851405005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BROOKSTONE CENTRE PKWY BLDG 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-256-0700",
            "fax_number": "866-390-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROOKSTONE CENTRE PKWY BLDG 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044501",
            "telephone_number": "706-256-0700",
            "fax_number": "706-256-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "MCKELVEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.