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MARTIN FAMILY PRACTICE PC
NPI 1902091143
Family Medicine in Evansville, IN

Active since September 11, 2007CLIA 15D1074751 · Waiver
4405 BELLEMEADE AVE, STE 102, EVANSVILLE, IN 47714(812) 437-5554(812) 437-5577 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martin Family Practice Pc NPPES

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

MARTIN FAMILY PRACTICE PC (NPI 1902091143) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Mark A Martin, Physician, as its authorized official.

NPPES Registry Identity

NPI1902091143
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARTIN FAMILY PRACTICE PC
Location Address4405 BELLEMEADE AVE, STE 102Evansville, IN 47714-0682
Mailing Address4405 Bellemeade AveEvansville, IN 47714-0682 · (812) 437-5554 · Fax (812) 437-5577
Phone(812) 437-5554
Fax(812) 437-5577
Organization SubpartNo
Authorized OfficialMark A MartinPhysician · (812) 437-5554
Enumeration DateSeptember 11, 2007
Last NPPES UpdateOctober 8, 2013
✔ NPI 1902091143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02002206A
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.
4405 BELLEMEADE AVE, Evansville, IN 47714
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Other Identifiers 3

Medicare UPINH33744IN
Medicaid200355030BIN
Medicare PIN253060IN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 of Waiver 15D1074751

Martin Family Practice PC · Evansville, IN
Active · expires Apr 6, 2028
CLIA Number15D1074751
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorMark A. Martin
Laboratory Phone(812) 437-5554
Laboratory LocationMartin Family Practice PC4405 Bellemeade Ave Ste 102, Evansville, IN 47714
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

TIMOTHY M CROWLEY M.D.
Ophthalmology
4405 BELLEMEADE AVE, STE 101
EVANSVILLE, IN 47714
Vanderburgh County (812) 474-1010
ADVANCED VISION ASSOCIATES LLC
Ophthalmology
4405 BELLEMEADE AVE, STE. 101
EVANSVILLE, IN 47714
Vanderburgh County (812) 474-1010
EYESITE OPTICAL
Eyewear Supplier
4405 BELLEMEADE AVE, STE. 101
EVANSVILLE, IN 47714
Vanderburgh County (812) 474-1858
RALPH D MILLSAPS, MD, PC
Internal Medicine (Interventional Cardiology)
4405 BELLEMEADE AVE, #102
EVANSVILLE, IN 47714
Vanderburgh County (812) 437-4327

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 Family Practice PC's NPI number?

The NPI number for Martin Family Practice PC is 1902091143. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Martin Family Practice PC located?

Martin Family Practice PC is located at 4405 Bellemeade Ave Ste 102, Evansville, IN 47714. The listed phone number is (812) 437-5554.

What is Martin Family Practice PC's specialty?

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

Does Martin Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1074751) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Martin Family Practice PC accept?

Health plans from CareSource list Martin Family Practice PC 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 Family Practice PC was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.