Frederick Martinez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

060185 Issued in GA

Practice address

1 Meadows Pkwy
Vidalia, GA 30474-8759

Phone

(912) 535-5555

Fax

(912) 537-0865

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  GA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of Ga LLC

  • Hospitalist Physician
  • Savannah, GA
  • NPI 1891653655

  GA

  Medicare reassignment Care Compare group
• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern Community Hospice, Inc.

  • Community Based Hospice Care Agency
  • Vidalia, GA
  • NPI 1497832844

  Hospice

  Care Compare affiliation
• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of Ga LLC 90 clinicians

Cogent Healthcare of Georgia PC 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospice Hospice, Vidalia, GA, CCN 111576
• Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Medicare fee-for-service enrollment

Enrolled in GA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: frederick.martinez@mrmc.gadirect.net
• Direct secure messaging: frederick.martinez@gadirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2019.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1992859599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750663",
            "telephone_number": "912-535-5555",
            "fax_number": "912-537-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEADOWS PKWY",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748759",
            "telephone_number": "912-535-5555",
            "fax_number": "912-537-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "060185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755529465A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donnaline Mack, LPC
• Kellie Mack, ATC
• Anthony D Mancuso, MD
• Donna J Marchant
• Mark Spivey Orthopedic Clinic, LLC
• Caryn J. Masterman-Smith, D.O.
• Thomas Reid McArthur, DVM
• Karen Joan McColl, M.D.
• Kara Graham McDonald, NP
• Ricky Allen McIntyre, RPH

• All providers in Vidalia, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.