NPIMap

Organization Active NPI

Ernest C. Martin, M.D., P.a.

  • Psychiatry Physician
  • Anderson, SC
National Provider Identifier
1871555896
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15740 Issued in SC
Legal business name
ERNEST C. MARTIN, M.D., P.A.
Practice address
309 W Beltline Blvd
North Hill Professional Park
Anderson, SC 29625-1505
Phone
(864) 261-9506
Fax
(864) 225-1134
NPI assigned
Apr 5, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Ernest Cleage Martin, M.D.NPI 1437176922
Title
Psychiatrist
Phone
(864) 261-9506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 15740 SC Primary

Addresses

Primary practice location

309 W Beltline Blvd
North Hill Professional Park
Anderson, SC 29625-1505

Mailing address

309 West Beltline Blvd
North Hill Professional Park
Anderson, SC 29625-1505
Phone (864) 261-9506

Other identifiers 1

IdentifierTypeStateIssuer
GP3908MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000966 SC Part B Supplier - Clinic/Group Practice 5799764791 Receives reassigned benefits from 11 practitioners
Practice locations: Anderson, SC; Greenville, SC

National Provider Directory

National Provider Directory

Locations

102 Buford Ave
Ste A
Anderson, SC 29621
Phone (864) 224-2325

3031 Highway 81 N
#B
Anderson, SC 29621
Phone (864) 261-9506

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1871555896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WEST BELTLINE BLVD",
            "address_2": "NORTH HILL PROFESSIONAL PARK",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251505",
            "telephone_number": "864-261-9506",
            "fax_number": "864-226-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W BELTLINE BLVD",
            "address_2": "NORTH HILL PROFESSIONAL PARK",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251505",
            "telephone_number": "864-261-9506",
            "fax_number": "864-225-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST C. MARTIN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "CLEAGE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "864-261-9506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "15740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3908",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.