Lauren E Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1656 Issued in TN

Practice address

100 William Northern Blvd
Tullahoma, TN 37388-5407

Phone

(931) 454-0489

Fax

(931) 454-2348

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Center of Tullahoma LLCGroup PAC ID 2769640812, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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 Practice Center of Tullahoma LLC

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1275796880
  Medicare reassignment Care Compare group
• Nes Tennessee, Inc.

  • Emergency Medicine Physician
  • Shelbyville, TN
  • NPI 1427039858
  NPD (past)
• Tullahoma Immediate Care PC

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1730457649
  NPD (past)

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

• Vanderbilt Coffee Hospital, LLC

  • General Acute Care Hospital
  • Tullahoma, TN
  • NPI 1831798719
  Care Compare affiliation

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1851546469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885407",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373885407",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAUREN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512147",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4314517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Danielle Mangrum
• Daniel F Mansfield, M.A., LMFT
• Mark Blair MD PC
• Kellie Marsh, APRN
• Anita Martin, MSP CCCSLP
• Marvel Clinic P.C.
• Jeffrey Blaine Marvel, M.D.
• Patty M Marvel, M.D.
• Mat Centers of Tennessee LLC
• Catherine Renee Materi, MA LSPE

• Physician Assistant in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.