TANDY L MARTIN CNP NPI 1679913099

NPI Information

  • NPI: 1679913099
  • Provider Name: TANDY L MARTIN, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 415 S 28TH AVE
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 268-5888

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NPI Details

Tandy L Martin, CNP is a family nurse practitioner in Hattiesburg, MS with 13 years of experience. Tandy L Martin, CNP NPI is 1679913099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 268-5888
Fax: (601) 261-3587

The NPI 1679913099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, testosterone cypionate, 1 mg (HCPCS:J1071)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Injection, heparin sodium, per 1000 units (HCPCS:J1644)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Injection, tobramycin sulfate, up to 80 mg (HCPCS:J3260)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Protein test for diagnosis and monitoring of bladder cancer (HCPCS:86386)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Urinalysis using microscope (HCPCS:81015)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Simple change of bladder tube (HCPCS:51705)

The enumeration date for this NPI number is 6/29/2013 and was last updated on 7/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR876040MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104901563MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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