Jeffrey H Martin MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

JEFFREY H MARTIN MD PA

Practice address

47 Weaver Rd
Suite B
Blairsville, GA 30512-3136

Phone

(706) 745-3862

Fax

(706) 745-3179

NPI assigned

Nov 19, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

JEFFREY H MARTIN MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Jeffrey H Martin MD PA, MD

Title

President

Phone

(828) 835-3900

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Jeffrey H Martin MD PA2 organizations share this tax ID, including this one

Part of

Jeffrey H Martin MD PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeffrey H Martin MD PA

  • Urology Physician
  • Murphy, NC
  • NPI 1487834933
  NPD tax ID

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1982885919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE-A",
            "address_2": "75 MEDICAL PARK LN",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066673",
            "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": "47 WEAVER RD",
            "address_2": "SUITE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123136",
            "telephone_number": "706-745-3862",
            "fax_number": "706-745-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY H MARTIN MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY H MARTIN MD PA",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN MD PA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-835-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "854396",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7598763",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1901307",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.