MARTIN MEDICAL CENTER, P.C.
NPI 1093768988
Clinic/Center - Rural Health in Martin, TN

Active since May 19, 2006CLIA 44D0670296 · Microscopy
117 KENNEDY DR, MARTIN, TN 38237(731) 587-9511(877) 309-6416 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2021, May 26, 2021, May 21, 2021 and 2 more (5 updates tracked since 2017).

About Martin Medical Center, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN MEDICAL CENTER, P.C. (NPI 1093768988) is a healthcare organization registered as a rural health in Martin, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through January 15, 2028 and lists Tammy M Hazlewood, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093768988
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMARTIN MEDICAL CENTER, P.C.
Location Address117 KENNEDY DRMartin, TN 38237-3309
Mailing Address117 Kennedy DrMartin, TN 38237-3309 · (731) 587-9511 · Fax (877) 309-6416
Fax(877) 309-6416
Organization SubpartNo
Authorized OfficialTammy M HazlewoodAdministrator · (731) 587-9511
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 26, 20245 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1093768988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
117 KENNEDY DR, Martin, TN 38237

Other Identifiers 2

Medicaid3371015TN
Other2006779TN · Blue Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Medical Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Martin Medical Center, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1871592287
117 KENNEDY DR
Martin, TN 38237
(731) 587-9511
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1790784106
117 KENNEDY DR
Martin, TN 38237
(731) 587-9511
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1780683102
148 MOUNT PELIA RD
Martin, TN 38237
(731) 200-0365
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1912007469
215 HAWKS RD SUITE 6
Martin, TN 38237
(731) 587-3454
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1275418964
1516 E REELFOOT AVE
Union City, TN 38261
(731) 886-8662
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1891405379
160 ODANIEL LANE
Paris, TN 38242
(731) 514-2183
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1437840030
620 SKYLINE DR
Jackson, TN 38301
(731) 422-0213
✔ PECOS✔ Accepts Medicare48 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0670296

Martin Medical Center PC · Martin, TN
Active · expires Jan 15, 2028
CLIA Number44D0670296
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorSusan Lowry MD
Laboratory Phone(731) 587-9511
Laboratory LocationMartin Medical Center PC117 Kennedy Drive, Martin, TN 38237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Medical Center, P.C.'s NPI number?

The NPI number for Martin Medical Center, P.C. is 1093768988. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Martin Medical Center, P.C. located?

Martin Medical Center, P.C. is located at 117 Kennedy Dr, Martin, TN 38237. The listed phone number is (731) 587-9511.

What is Martin Medical Center, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Martin Medical Center, P.C. enrolled in Medicare?

Yes. Martin Medical Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Martin Medical Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Martin Medical Center, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (1) and General Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Martin Medical Center, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0670296) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Martin Medical Center, P.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Martin Medical Center, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin Medical Center, P.C. was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.