Individual provider Active NPI

Douglas M Martin, D.O.

  • Family Medicine Physician
  • Winfield, AL
National Provider Identifier
1922074277
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0995 Issued in AL
Practice address
1530 US Highway 43
Winfield, AL 35594-5056
Phone
(205) 487-7000
Fax
(205) 487-7179
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO0995 AL
Family Medicine Physician 207Q00000X DO.995 AL
Family Medicine Physician 207Q00000X DO0995 AL Primary

Addresses

Primary practice location

1530 US Highway 43
Winfield, AL 35594-5056

Mailing address

1256 Military St S
Hamilton, AL 35570-5003
Phone (205) 921-6496

Other practice location 1

200 Carraway Dr Ste 2
Winfield, AL 35594-5073
Phone (205) 487-7556

Other practice location 2

1390 Walnut St
Sulligent, AL 35586-3841
Phone (205) 698-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090112000469 AL Practitioner - Family Practice 5799711016 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO0995ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NWMC Winfield Physicians LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Pinnacle Physician Group, LLP CurrentSince Feb 1, 2023 Accepting new patients
Relias Hospitalist Medicine Specialists of Hamilton LLC Emergency Medicine CurrentSince Jan 26, 2023 Accepting new patients
Decatur County General Hospital Past Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

1390 Walnut St
Sulligent, AL 35586
Phone (205) 216-3121

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

200 Carraway Dr
Ste 2
Winfield, AL 35594
Phone (205) 449-9601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1922074277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705003",
            "telephone_number": "205-921-6496",
            "fax_number": "205-921-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945056",
            "telephone_number": "205-487-7000",
            "fax_number": "205-487-7179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Carraway Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945073",
            "country_code": "US",
            "telephone_number": "205-487-7556",
            "fax_number": "205-487-7559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Sulligent",
            "state": "AL",
            "postal_code": "355863841",
            "country_code": "US",
            "telephone_number": "205-698-7111",
            "fax_number": "205-698-0516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO0995",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.995",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO0995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

Verify at the official NPI Registry.