Heather Davis Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001002899 Issued in NC

Practice address

2754 NC Highway 68 S Ste 111
High Point, NC 27265-8382

Phone

(336) 802-1111

NPI assigned

Sep 20, 2007

Last updated

Feb 20, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: heather.martin@tp.trimed.direct-ci.com

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.

• Triad Pediatrics, PC

  • Pediatrics Physician
  • High Point, NC
  • NPI 1407355704
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1891981023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 NC HIGHWAY 68 S STE 111",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658382",
            "telephone_number": "336-802-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 NC HIGHWAY 68 S STE 111",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658382",
            "telephone_number": "336-802-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HEATHER",
        "middle_name": "DAVIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001002899",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Marshall
• Ying Marshall, MS, RD, LDN
• Cameron Marshmon
• Tamarann Marteny, MSW, LCSWA
• Brittany Alyse Martin, MD
• Jessica Martin
• Jodi Leigh Martin, LCSW
• Maida Helen Martin, PA-C
• Roy Edward Martin Jr., DDS
• William Martin, MMS, PA-C

• Physician Assistant in High Point, NC
• Providers in High Point, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.