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GAINES C MARTIN MD PHD PA
NPI 1265627541
Family Medicine in Orange Park, FL

Active since September 11, 2007
1409 KINGSLEY AVE STE 9G, ORANGE PARK, FL 32073(904) 637-0007 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2020, Oct 17, 2019 (2 updates tracked since 2019).

About Gaines C Martin Md Phd Pa NPPES

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

GAINES C MARTIN MD PHD PA (NPI 1265627541) is a healthcare organization registered as a family medicine in Orange Park, Florida and active in the NPI registry since September 2007. The organization lists Gaines Charles Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1265627541
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGAINES C MARTIN MD PHD PA
Location Address1409 KINGSLEY AVE STE 9GOrange Park, FL 32073-4579
Mailing Address1409 Kingsley Ave Ste 9gOrange Park, FL 32073-4579 · (904) 637-0007
Phone(904) 637-0007
Organization SubpartNo
Authorized OfficialGaines Charles MartinOwner · (904) 637-0007
Enumeration DateSeptember 11, 2007
Last NPPES UpdateApril 8, 20202 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
✔ NPI 1265627541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1409 KINGSLEY AVE STE 9G, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaines C Martin Md Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gaines C Martin MD Phd PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Gaines Martin, MD
Family Practice
NPI 1639103021
1409 KINGSLEY AVE, SUITE 9G
Orange Park, FL 32073
(904) 637-0007
✔ PECOS✔ Accepts MedicareSame address
Gaston Metelus, ARNP
Nurse Practitioner
NPI 1235638602
1893 KINGSLEY AVE STE C
Orange Park, FL 32073
(904) 444-5046
✔ PECOS✔ Accepts Medicare0.7 mi

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

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 Gaines C Martin MD Phd PA's NPI number?

The NPI number for Gaines C Martin MD Phd PA is 1265627541. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Gaines C Martin MD Phd PA located?

Gaines C Martin MD Phd PA is located at 1409 Kingsley Ave Ste 9G, Orange Park, FL 32073. The listed phone number is (904) 637-0007.

What is Gaines C Martin MD Phd PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gaines C Martin MD Phd PA enrolled in Medicare?

Yes. Gaines C Martin MD Phd PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gaines C Martin MD Phd PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gaines C Martin MD Phd PA, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gaines C Martin MD Phd PA was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.