Willis E Martin, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0107714 Issued in MD

Practice address

9948 N Main St Unit 1
Berlin, MD 21811-1076

Phone

(410) 921-3376

Fax

(443) 736-1945

NPI assigned

Dec 17, 2008

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Male

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

Enrolled in NC

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

Specialty

Dermatology

Education

University of North Carolina at Chapel Hill School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.95 of 100Reported as apm

Quality

82.44

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Dermatology PLLC

  • Dermatology Physician
  • Rocky Mount, NC
  • NPI 1700490182
  Medicare reassignment NPD Authorized official
• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703
  NPD
• Anne Arundel Dermatology, P.a.

  • Specialist
  • Berlin, MD
  • NPI 1467282186
  NPD
• Atlantic Neurosurgery Consultants, PA

  • Neurological Surgery Physician
  • Rocky Mount, NC
  • NPI 1538124177
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1902042278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9948 N MAIN ST UNIT 1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111076",
            "telephone_number": "410-921-3376",
            "fax_number": "443-736-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Moye Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342849",
            "country_code": "US",
            "telephone_number": "252-744-3109",
            "fax_number": "252-744-2096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Woodridge Ct",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042294",
            "country_code": "US",
            "telephone_number": "252-903-1372",
            "fax_number": "252-200-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0107714",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "19371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Christine Marrufo, LMSW
• Ja'Nae Marshall
• Jada Marshall
• Marcel Lynn Martin
• Monica Marie Martin, LCSW-C
• Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
• Maryland Wellness LLC
• Maryland Wellness LLC
• Maryland Wellness LLC
• Mary Darden Mason, DNP, FNP-BC

• Dermatology Physician in Berlin, MD
• Providers in Berlin, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.