Individual provider Active NPI

Marylyn A Martin-Naar, M.D.

  • Internal Medicine Physician
  • Stanley, NC
National Provider Identifier
1982787511
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202003998 Issued in NC
Practice address
106 W Dallas Rd
Stanley, NC 28164-2103
Phone
(910) 690-8033
NPI assigned
Oct 24, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 202003998 NC Primary

Addresses

Primary practice location

106 W Dallas Rd
Stanley, NC 28164-2103

Mailing address

106 W Dallas Rd
Stanley, NC 28164-2103
Phone (910) 690-8033

Other practice location 1

8025 N Point Blvd Ste 219
Winston Salem, NC 27106-3262
Phone (336) 355-5037

Other identifiers 1

IdentifierTypeStateIssuer
1982787511MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250306002052 NC Practitioner - Internal Medicine 0345403283 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202003998NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ethos Services CurrentSince Nov 19, 2024 Accepting new patients
Ethos Services Gives Back Past Accepting new patients
Arbor Care Solutions LLC PastSince Feb 25, 2024 Accepting new patients

Locations

432 E Long Ave
Ste 2
Gastonia, NC 28054
Phone (980) 416-3025

106 W Dallas Rd
Stanley, NC 28164
Phone (980) 322-5447

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1982787511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W DALLAS RD",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642103",
            "telephone_number": "910-690-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W DALLAS RD",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642103",
            "telephone_number": "910-690-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8025 N Point Blvd Ste 219",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063262",
            "country_code": "US",
            "telephone_number": "336-355-5037",
            "fax_number": "410-793-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN-NAAR",
        "first_name": "MARYLYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "202003998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982787511",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanley, NC

Sources for this page

Verify at the official NPI Registry.