Individual provider Active NPI

Jose A. Serrano-Martinez, M.D.

  • Family Medicine Physician
  • Edgefield, SC
National Provider Identifier
1902897135
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3126 Issued in AK
Practice address
501 Gary Hill Rd
Edgefield, SC 29824-4503
Phone
(803) 637-1425
Fax
(803) 637-7191
NPI assigned
Nov 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3126 AK Primary

Addresses

Primary practice location

501 Gary Hill Rd
Edgefield, SC 29824-4503

Mailing address

2219 Raven Dr
North Augusta, SC 29841-2921
Phone (803) 442-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3126AKMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902897135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 RAVEN DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412921",
            "telephone_number": "803-442-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GARY HILL RD",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "298244503",
            "telephone_number": "803-637-1425",
            "fax_number": "803-637-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO-MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgefield, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.