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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: July 26, 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
Phone(731) 587-9511
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
Open in Google Maps ↗

Other Identifiers 2

Medicaid3371015TN
Other2006779TN · Blue Cross Blue Shield

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WALTER FRIZZELL FLETCHER M.D.
Family Medicine
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511
AUDIE B MARLAR JR. PA
Family Medicine
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511
MICHAEL TRENT SCATES PA-C, M.S.
Physician Assistant
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-2231
MARTIN MEDICAL CENTER, P.C.
Clinic/Center (Multi-Specialty)
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511
KEELY E VAUGHAN PA-C
Physician Assistant (Medical)
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511
JAMES W SHORE MD
Family Medicine
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511
SUSAN S LOWRY MD
Family Medicine
117 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-9511

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.

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.

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 with the weekly NPPES data releases published by CMS.