NPIMap

Individual provider Active NPI

Paula Martin, DO

  • Family Medicine Physician
  • Boones Mill, VA
National Provider Identifier
1942283296
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102-201419 Issued in VA
Practice address
22890 Virgil H Goode Hwy
Boones Mill, VA 24065-4989
Phone
(540) 334-5511
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 0102-201419 VA Primary

Addresses

Primary practice location

22890 Virgil H Goode Hwy
Boones Mill, VA 24065-4989

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715

Other identifiers 1

IdentifierTypeStateIssuer
010135893MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715001297 VA Practitioner - Family Practice 3375522022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Practice addresses (Care Compare)

150 Market Ridge LN
Daleville, VA 24083-3258
Phone (540) 966-0400

22890 Virgil Goode Hwy
Boones Mill, VA 24065
Phone (540) 334-5511

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

  • Carilion Home Care Franklin Home health agency, Rocky Mount, VA, CCN 497038
  • Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Good Samaritan Hospice Inc Hospice, Roanoke, VA, CCN 491510
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102-201419VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2005 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2005 Accepting new patients
Carilion Giles Community Hospital Current Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1030 S Jefferson St
Ste 106
Roanoke, VA 24016
Phone (540) 343-4092

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: pmartin18183@direct.carilionclinic.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1942283296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22890 VIRGIL H GOODE HWY",
            "city": "BOONES MILL",
            "state": "VA",
            "postal_code": "240654989",
            "telephone_number": "540-334-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PAULA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102-201419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010135893",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boones Mill, VA

Sources for this page

Verify at the official NPI Registry.