Individual provider Active NPI

Martha M Green, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1962697342
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME119716 Issued in FL
Practice address
1717 N E St Ste 222a
Pensacola, FL 32501
Phone
(850) 437-8637
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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 ME119716 FL Primary

Addresses

Primary practice location

1717 N E St Ste 222a
Pensacola, FL 32501

Mailing address

PO Box 17567
Pensacola, FL 32522-7567
Phone (850) 437-8637

Other practice location 1

1111 Ring Rd
Elizabethtown, KY 42701-4900
Phone (270) 706-1925

Other identifiers 1

IdentifierTypeStateIssuer
013949700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150116000038 FL Practitioner - Family Practice 3678607108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

2896 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3146
Phone (448) 227-5499

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pensacola, FL, CCN 107792
  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119716FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC Family Medicine CurrentSince Feb 11, 2019 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Medical Group LLC CurrentSince Feb 11, 2019 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Caverna Memorial Hospital, Inc. Family Medicine Past Accepting new patients
Caverna Memorial Hospital, Inc. Past Accepting new patients
Hardin Professional Services Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2896 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 932-2203

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

3417 N 12th Ave
Pensacola, FL 32503
Phone (850) 432-7310

1717 N E St
Ste 222A
Pensacola, FL 32501
Phone (850) 435-7448

Organizations & group practices 7

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 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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1962697342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567",
            "telephone_number": "850-437-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 222A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-437-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Ring Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427014900",
            "country_code": "US",
            "telephone_number": "270-706-1925",
            "fax_number": "270-706-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARTHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013949700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.