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TAMMY PRUITT MARTINEZ PA-C
NPI 1619944154
Physician Assistant in Jacksonville, FL

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
9130 R G SKINNER PARKWAY, JACKSONVILLE, FL 32256(045) 538-0950(904) 538-0952 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tammy Pruitt Martinez Pa-c NPPES

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

TAMMY PRUITT MARTINEZ PA-C (NPI 1619944154) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9110936) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619944154
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMMY PRUITT MARTINEZCredential: PA-C
Location Address9130 R G SKINNER PARKWAYJacksonville, FL 32256
Mailing Address9130 R G Skinner ParkwayJacksonville, FL 32256 · (045) 538-0950 · Fax (904) 538-0952
Phone(045) 538-0950
Fax(904) 538-0952
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 3, 2006
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1619944154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9110936✔ Licensed in RI · PA00359
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9130 R G SKINNER PARKWAY, Jacksonville, FL 32256
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Secondary Practice Locations 2

Location 12 Wake Robin Rd, Suite 103Lincoln, RI 02865-4241 · Phone (401) 334-3105 · Fax (401) 334-1144
Location 24498 Hendricks AveJacksonville, FL 32207-6326 · Phone (049) 854-1730 · Fax (904) 402-8000

Other Identifiers 3

OtherPA00359RI · Ri License
Other939025129Ri Medicare Group Number
Other1619944154Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tammy Pruitt Martinez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890735955
PECOS Enrollment IDI20180202002155
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

CARLIE ALEXANDRA GRIGG
Physician Assistant
9130 R G SKINNER PARKWAY
JACKSONVILLE, FL 32256
Duval County (904) 538-0950

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 Tammy Martinez's NPI number?

The NPI number for Tammy Martinez is 1619944154. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Tammy Martinez located?

Tammy Martinez practices at 9130 R G Skinner Parkway, Jacksonville, FL 32256. The listed phone number is (045) 538-0950.

What is Tammy Martinez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tammy Martinez enrolled in Medicare?

Yes. Tammy Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tammy Martinez affiliated with any hospitals?

According to CMS data, Tammy Martinez is affiliated with Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Tammy Martinez was last updated on September 28, 2023. 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.