Active NPI
Helen S Martin, PA
- Physician Assistant
- Hickory, NC
National Provider Identifier
1912005224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04455
- Practice address
- 4213 Windsor CT
Hickory, NC 28602-8985 - Phone
- (954) 592-1740
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04455 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 0913 | TN |
Addresses
Primary practice location
4213 Windsor CT
Hickory, NC 28602-8985
Mailing address
2797 NC 55 Hwy
Cary, NC 27519-6206
Phone (866) 389-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-3555819 | Other | NC | MEDICARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2661 | SC | MD | Chiropractor |
| 0913 | TN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1912005224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2797 NC 55 HWY",
"city": "CARY",
"state": "NC",
"postal_code": "275196206",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 WINDSOR CT",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028985",
"telephone_number": "954-592-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "HELEN",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04455",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "0913",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "20-3555819",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.