Active NPI
Peter Barry Martin, AA
- Anesthesiologist Assistant
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 809 82ND Pkwy
Myrtle Beach, SC 29572-4607 - Phone
- (809) 692-1000
- NPI assigned
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2000-00037 | NC | |
| Anesthesiologist Assistant | 367H00000X | Primary |
Addresses
Primary practice location
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
23 Berkeley St
Nashua, NH 03064-1933
Phone (603) 459-5865
Other practice location 1
3714 Guardian Ave Ste W
Morehead City, NC 28557-2975
Phone (252) 247-0314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, SC, NC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3714 Guardian Ave
Suite W
Morehead City, NC 28557-2975
Phone (252) 247-0314
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125 | SC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Current | Accepting new patients | |
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients |
Locations
3714 Guardian Ave
Ste W
Morehead City, NC 28557
Phone (252) 247-0314
3714 Guardian Ave
Morehead City, NC 28557
Phone (252) 247-0314
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509
120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077
100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1962289322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BERKELEY ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030641933",
"telephone_number": "603-459-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724607",
"telephone_number": "809-692-1000"
}
],
"practiceLocations": [
{
"address_1": "3714 Guardian Ave Ste W",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "285572975",
"country_code": "US",
"telephone_number": "252-247-0314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "PETER",
"middle_name": "BARRY",
"credential": "AA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-11",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "NC",
"license": "2000-00037",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.