NPIMap

Individual provider Active NPI

Jeffrey H Martin, MD PA

  • Urology Physician
  • Murphy, NC
National Provider Identifier
1962593202
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9701477 Issued in NC
Practice address
75 Medical Park LN
Suite a
Murphy, NC 28906-6667
Phone
(828) 835-3900
Fax
(828) 835-3006
NPI assigned
Sep 28, 2006
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9701477 NC Primary
Urology Physician 208800000X 056322 GA

Addresses

Primary practice location

75 Medical Park LN
Suite a
Murphy, NC 28906-6667

Mailing address

75 Medical Park LN
Suite a
Murphy, NC 28906-6667
Phone (828) 835-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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
I20050812000888 NC Practitioner - Urology 7810926003 Reassigns benefits to 1 organization
I20050817000180 GA Practitioner - Urology 7810926003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Brody School of Medicine at East Carolina University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy Medical Center IncGroup PAC ID 7416856547, 70 clinicians

Practice addresses (Care Compare)

3990 E US 64 Alt
Murphy, NC 28906-6843

75 Medical Park LN
Suite D
Murphy, NC 28906-6673
Phone (828) 837-1332

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056322GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy Medical Center Inc Current Accepting new patients
Murphy Medical Center, Inc. CurrentSince Dec 14, 2016 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

386 Belaire Dr
Hiawassee, GA 30546
Phone (706) 435-9918

145 Medical Park Ln
Ste I
Murphy, NC 28906
Phone (828) 837-3684

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

75 Medical Park Ln
Murphy, NC 28906

75 Medical Park Ln
Ste A
Murphy, NC 28906
Phone (828) 647-0647

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

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 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1962593202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MEDICAL PARK LN",
            "address_2": "SUITE A",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066667",
            "telephone_number": "828-835-3900",
            "fax_number": "828-835-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MEDICAL PARK LN",
            "address_2": "SUITE A",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066667",
            "telephone_number": "828-835-3900",
            "fax_number": "828-835-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9701477",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "056322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.