JOHN MICHAEL MARTIN NP NPI 1962566224

NPI Information

  • NPI: 1962566224
  • Provider Name: JOHN MICHAEL MARTIN, NP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1330 R S KIMBALL
    VANCLEAVE, MS
    ZIP 39565
  • Phone: (228) 826-4600

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NPI Details

John Michael Martin, NP is a nurse practitioner in Vancleave, MS with 27 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. John Michael Martin, NP NPI is 1962566224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 R S KIMBALL
VANCLEAVE, MS
ZIP 39565
Phone: (228) 826-4600

The NPI 1962566224 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Fusion of spine in lower back (HCPCS:22612)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 12/21/2006 and was last updated on 7/9/2007.

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
1363L00000XNurse PractitionerR851501MISSISSIPPIYes

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
100126136MEDICAIDMISSISSIPPI
2P20213MEDICARE UPINMISSISSIPPI

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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