Individual provider Active NPI

Selina Ann Martin, PA-C

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1902811771
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017430-1 Issued in NY
Practice address
3016 Longtown Commons Dr Ste 200
Columbia, SC 29229-7863
Phone
(803) 314-9640
Fax
(803) 314-9641
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017430-1 NY Primary
Physician Assistant 363A00000X 25MP00126700 NJ
Physician Assistant 363A00000X 4969 SC

Addresses

Primary practice location

3016 Longtown Commons Dr Ste 200
Columbia, SC 29229-7863

Mailing address

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 719-5758

Other practice location 1

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 719-5758

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smartin182314@direct.lexmed.com
Direct Messaging Address SELINA.MARTIN@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20241122004244 SC Practitioner - Physician Assistant 0143116798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

146 E Hospital Dr
West Columbia, SC 29169-4800

1846 Dutch Fork Rd
Irmo, SC 29063-8830
Phone (803) 314-9640

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460

3016 Longtown Commons Dr
Columbia, SC 29229-7849

46 E Hospital Dr
Suite 200
West Columbia, SC 29169-4800
Phone (803) 936-7530

557 Columbia Ave
Chapin, SC 29036-8324

565 Columbia Ave
Chapin, SC 29036-8324

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4969SCMDSpeech-Language Pathologist
017430-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Dec 1, 2024 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Dec 1, 2024 Accepting new patients
Texas Joint Institute, PLLC Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

557 Columbia Ave
#C
Chapin, SC 29036
Phone (803) 314-9640

7033 Saint Andrews Rd
Ste 104
Columbia, SC 29212
Phone (803) 936-7230

3016 Longtown Commons Dr
Ste 200
Columbia, SC 29229
Phone (803) 314-9640

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

811 W Main St
Ste 207
Lexington, SC 29072
Phone (803) 314-9640

146 E Hospital Dr
Ste 350
West Columbia, SC 29169
Phone (803) 314-9640

Interoperability endpoints

  • Direct secure messaging: selina.martin@hca7.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1902811771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FRANKLIN AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802145",
            "telephone_number": "516-719-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LONGTOWN COMMONS DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297863",
            "telephone_number": "803-314-9640",
            "fax_number": "803-314-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115802145",
            "country_code": "US",
            "telephone_number": "516-719-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SELINA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017430-1",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00126700",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smartin182314@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3016 Longtown Commons Dr Ste 200",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292297863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SELINA.MARTIN@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 Franklin Ave",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115802145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.