MILDRED LOUISE MARTIN RN,MSN,MA,PMHNP-BC
NPI 1942267703
Nurse Practitioner - Psychiatric/Mental Health in Conroy, SC

Q: What is Mildred Martin's NPI number?

The NPI number for Mildred Martin is 1942267703. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Mildred Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mildred Martin was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 27, 2006PECOS Enrolled

164 WACCAMAW MEDICAL PARK DR, CONROY, SC 29526(843) 347-4888(843) 347-4102 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mildred Louise Martin Rn,msn,ma,pmhnp-bc NPPES

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

MILDRED LOUISE MARTIN RN,MSN,MA,PMHNP-BC (NPI 1942267703) is an individual psychiatric/mental health provider in Conroy, South Carolina, licensed in South Carolina (17888APRN) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942267703

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMILDRED LOUISE MARTINCredential: RN,MSN,MA,PMHNP-BC

Location Address164 WACCAMAW MEDICAL PARK DRConroy, SC 29526

Mailing Address164 Waccamaw Medical Park DrConway, SC 29526-8903

Phone(843) 347-4888

Fax(843) 347-4102

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateJanuary 31, 2014

✔ NPI 1942267703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in SC · 17888APRN✔ Licensed in NV · 000720

164 WACCAMAW MEDICAL PARK DR, Conroy, SC 29526

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Other Identifiers 2

Medicare UPIN3344SC

Medicaid327877SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mildred Louise Martin Rn,msn,ma,pmhnp-bc 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.

Medicare Billing Reassignments

Medicare enrollment records show Mildred Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Carolina Dept Of Mental Health Accounting Office

Same address

Mental Health (Including Community Mental Health Center)

164 WACCAMAW MEDICAL PARK DR
Conway, SC 29526

Reassigned Medicare billing, South Carolina enrollment
79 clinicians in this Medicare group

NPI 1356397228 (843) 347-5060

Coos County Oregon

2,505 mi

Clinic/Center

281 LACLAIR STREET
Coos Bay, OR 97420

Reassigned Medicare billing, Oregon enrollment
24 clinicians in this Medicare group

NPI 1811981053 (541) 266-6700

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

237 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

199 services70 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services28 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

32 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

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 20

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

MS. TAWAN BINNETTA ALSTON

Counselor