1. Home
  2. Directory
  3. South Carolina
  4. Aiken
  5. Physician Assistant
  6. NPI Profile

MRS. JEANNE R. MARTIN PAC
NPI 1508860420
Physician Assistant - Medical in Aiken, SC

Active since June 09, 2005PECOS Enrolled
526 RICHLAND AVE W, AIKEN, SC 29801(803) 648-3130(803) 648-9860 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jeanne R. Martin Pac NPPES

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

MRS. JEANNE R. MARTIN PAC (NPI 1508860420) is an individual medical provider in Aiken, South Carolina, licensed in South Carolina (423) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508860420
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JEANNE R. MARTINCredential: PAC
Location Address526 RICHLAND AVE WAiken, SC 29801-3828
Mailing AddressPo Box 1132Aiken, SC 29802-1132 · (803) 648-3130 · Fax (803) 648-9860
Phone(803) 648-3130
Fax(803) 648-9860
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateAugust 26, 2008
✔ NPI 1508860420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 423
526 RICHLAND AVE W, Aiken, SC 29801
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINQ31434SC
MedicaidQM0345SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jeanne R. Martin Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers14 claims179 services$17.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers14 claims420 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers34 claims143 services$6.87 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers24 claims24 services$2.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers30 claims64 services$1.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers67 claims67 services$195.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

R. BAUER VAUGHTERS, III, MD, INC.
Durable Medical Equipment & Medical Supplies
526 RICHLAND AVE W
AIKEN, SC 29801
Aiken County (803) 648-3130
R. BAUER VAUGHTERS, III, MD, INC.
Specialist
526 RICHLAND AVE W
AIKEN, SC 29801
Aiken County (803) 648-3130
MR. RAY BAUER VAUGHTERS III MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
526 RICHLAND AVE W, R BAUER VAUGHTERS III MD INC
AIKEN, SC 29801
Aiken County (803) 648-3130
MRS. RACHEL SARITA GAY
Nurse Practitioner (Family)
526 RICHLAND AVE W
AIKEN, SC 29801
Aiken County (803) 648-3130

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 Jeanne Martin's NPI number?

The NPI number for Jeanne Martin is 1508860420. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Jeanne Martin located?

Jeanne Martin practices at 526 Richland Ave W, Aiken, SC 29801. The listed phone number is (803) 648-3130.

What is Jeanne Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeanne Martin enrolled in Medicare?

Yes. Jeanne Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanne Martin was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.