Jessica Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1348 Issued in AL

Practice address

3504 Highway 280
Alexander City, AL 35010-3371

Phone

(256) 397-7727

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jessica Roe Former name

Medicare fee-for-service enrollment

Enrolled in AL

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Hospital CorporationGroup PAC ID 6406754431, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score

71.09 of 100Reported as group

Quality

52.05

Promoting interoperability

80

Improvement activities

40

Cost

68.25

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Russell Hospital Corporation

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1417252537
  Medicare reassignment Care Compare group NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605
  Medicare reassignment
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Monroeville, AL
  • NPI 1013519230
  NPD
• Russell Hospital Corporation

  • Rural Health Clinic/Center
  • New Site, AL
  • NPI 1700419868
  NPD
• The Russell Hospital Corporation

  • Primary Care Clinic/Center
  • Goodwater, AL
  • NPI 1174990626
  NPD (past)

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

• Russell Hospital Corporation

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1871858035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TURKEY TROT",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368534700",
            "telephone_number": "502-759-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 HIGHWAY 280",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103371",
            "telephone_number": "256-397-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Crosslake Dr",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477158198",
            "country_code": "US",
            "telephone_number": "812-477-1558",
            "fax_number": "812-476-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Ariana Lopp, MS CCC-SLP
• Loyal Home Care Services LLC
• Steven Lynn Mackey, M.D.
• Robyn P. Mann, CRNA
• Kristina L Mansell, D.P.T.
• Julia R McCall, CRNP
• Paul Martin McCann, ATC
• Lori G. McCollum, M.C.D., CCC-A
• Travis Donald McDill, DPT
• Ashleigh Irvin McKnight, M.S. CCC-SLP

• Physician Assistant in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.