Individual provider Active NPI

Jonathan Martin, MD

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1881672558
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
37585 Issued in TN
Practice address
211 Blount Ave
Suite 507
Knoxville, TN 37920
Phone
(865) 525-0598
Fax
(865) 525-0598
NPI assigned
Jan 4, 2006
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 37585 TN
Emergency Medicine Physician 207P00000X 37585 TN Primary

Addresses

Primary practice location

211 Blount Ave
Suite 507
Knoxville, TN 37920

Mailing address

PO Box 779
Johnson City, TN 37605-0779
Phone (423) 928-1145

Other identifiers 4

IdentifierTypeStateIssuer
3886502MedicaidTN
4066540OtherTNBCBS
7688492OtherTNAETNA
P00078148OtherTNPALMETTO GBA-RR MCR

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001147 TN Practitioner - Family Practice 9436124625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6500

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37585TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Hospitalist CurrentSince Jan 1, 2016 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Hospitalist Group PC Hospitalist Past Accepting new patients
East Tennessee Women's Care, PC Past Accepting new patients
Health Ventures, Inc Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Cumberland Medical Center, Inc. Past Accepting new patients

Locations

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 9

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 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1881672558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376050779",
            "telephone_number": "423-928-1145",
            "fax_number": "423-928-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BLOUNT AVE",
            "address_2": "SUITE 507",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-525-0598",
            "fax_number": "865-525-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "37585",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "37585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886502",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4066540",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7688492",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MCR",
            "identifier": "P00078148",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.