Individual provider Active NPI

John Paul Martin, MD

  • Family Medicine Physician
  • Oneida, TN
National Provider Identifier
1902804537
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26733 Issued in TN
Practice address
189 Andrew St
Oneida, TN 37841-6296
Phone
(423) 569-3762
Fax
(423) 569-4909
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 26733 TN
Family Medicine Physician 207Q00000X 26733 TN Primary

Addresses

Primary practice location

189 Andrew St
Oneida, TN 37841-6296

Mailing address

PO Box 4908
Oneida, TN 37841-4908
Phone (423) 569-3762

Other identifiers 2

IdentifierTypeStateIssuer
3094640MedicaidTN
64713324MedicaidKY

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
I20100812000342 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7517091598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26733TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elderberry Health PLLC Family Medicine Current Accepting new patients
Elderberry Health PLLC CurrentSince Jul 1, 1999 Accepting new patients
Morgan County Health Council Inc CurrentSince Jul 25, 2016 Accepting new patients

Locations

106 Duke St
Ashland City, TN 37015
Phone (629) 289-3136

189 Andrew St
Oneida, TN 37841
Phone (423) 569-3276

224 Old Mill Rd
Wartburg, TN 37887
Phone (423) 346-6221

Interoperability endpoints

  • Direct secure messaging: martinfamilymedical.johnmartin@159504.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1902804537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4908",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378414908",
            "telephone_number": "423-569-3762",
            "fax_number": "423-569-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ANDREW ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416296",
            "telephone_number": "423-569-3762",
            "fax_number": "423-569-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "26733",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "26733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094640",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64713324",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.