NPIMap

Individual provider Active NPI

Martin W Webb, MD

  • Nephrology Physician
  • Beaufort, SC
National Provider Identifier
1942256516
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
90198 Issued in SC
Practice address
16 Kemmerlin LN
Beaufort, SC 29907-2709
Phone
(843) 524-2002
Fax
(843) 524-3522
NPI assigned
May 25, 2006
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 90198 SC Primary

Addresses

Primary practice location

16 Kemmerlin LN
Beaufort, SC 29907-2709

Mailing address

PO Box 15238
Savannah, GA 31416-1938
Phone (912) 354-4813

Other practice location 1

16 Okatie Ctr Blvd Ste 100
Okatie, SC 29909-7535
Phone (843) 706-9955

Other identifiers 1

IdentifierTypeStateIssuer
11650QMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091223000368 NC Practitioner - NephrologyPractitioner - Internal Medicine 4385784370
I20231010000094 SC Practitioner - NephrologyPractitioner - Internal Medicine 4385784370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 Kemmerlin LN
Suite a
Beaufort, SC 29907-2709
Phone (843) 524-2002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90198SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Medical Associates PC Current Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology CurrentSince Sep 26, 2023 Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology Current Accepting new patients
Nephrology and Hypertension Medical Associates PC CurrentSince Sep 26, 2023 Accepting new patients
CK Vascular PLLC PastSince Jul 15, 2002 Accepting new patients

Locations

16 Kemmerlin Ln
Beaufort, SC 29907
Phone (843) 476-4702

16 Kemmerlin Ln
#A
Beaufort, SC 29907
Phone (843) 524-2002

16 Okatie Center Blvd S
Ste 100
Okatie, SC 29909
Phone (843) 706-9955

Interoperability endpoints

  • Direct secure messaging: martinwebb@cka.allscriptsdirect.net
  • Direct secure messaging: martinwebb@nhma.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1942256516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15238",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161938",
            "telephone_number": "912-354-4813",
            "fax_number": "912-650-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KEMMERLIN LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072709",
            "telephone_number": "843-524-2002",
            "fax_number": "843-524-3522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Okatie Ctr Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097535",
            "country_code": "US",
            "telephone_number": "843-706-9955",
            "fax_number": "843-706-9956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MARTIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "90198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11650Q",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.