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Active NPI 1508463365 Individual Practitioner Male Practitioner

Logan Curran Martin , PA-C

Physician Assistant • Winchester, TN

Professional Overview & Biography Verified Profile Summary

Logan Martin, PA-C is a registered healthcare professional specializing in Physician Assistant in Winchester, TN. Practice services are available at 1211 DINAH SHORE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 Dinah Shore Blvd

Winchester, TN 373981107

Telephone 9319676669
Fax 9319676606
Associated Practice Facility / Clinic
🏢 Complete Express Care, Llc Facility NPI 1083909204

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winchester, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Winchester, TN (3096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
93 11 $2.21 $0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
33 21 $34.58 $11.09
99213 Established patient office or other outpatient visit, typically 15 minutes
26 25 $126.15 $69.15
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
12 11 $120.00 $36.94

Medical Specialties & State Licenses

CMS Verified: 2023-08-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 4357

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
Q063418 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Sherry Lee , APN

Nurse Practitioner - Family

NPI 1356385967

Advanced Practice Nurse

Melissa Smith , NP-C

Nurse Practitioner - Family

NPI 1619399169

Nurse Practitioner (Certified)

Dr. Jason Jackson , PA-C, DC

Physician Assistant

NPI 1649378464

Physician Assistant (Certified), Doctor of Chiropractic

Leah Keith , NP

Nurse Practitioner

NPI 1922712744

Nurse Practitioner

Melissa Allen , NNP-BC, FNP-C

Nurse Practitioner - Family

NPI 1972563369

NNPBC, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 01, 2023

Registered at 1211 DINAH SHORE BLVD, WINCHESTER, TN 373981107 (Tel: 9319676669)

📍
Updated Business Mailing Address August 01, 2023

Registered at 1700 SUMMER ST APT C92, MANCHESTER, TN 373552396 (Tel: 6155871436)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Physician Assistant (License #4357 in TN)

📍
Updated Business Mailing Address April 01, 2021

Registered at 2705 OLD FORT PKWY, STE G, MURFREESBORO, TN 371285154 (Tel: 6158961022)

NPI Profile Active October 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2020

Registered at 5431 EDMONDSON PIKE # 10, NASHVILLE, TN 372115806 (Tel: 6155871436)

📍
Updated Business Mailing Address October 05, 2020

Registered at 143 NORTHLAKE DR, HENDERSONVILLE, TN 370755670 (Tel: 6155871436)

👤
Provider Name / Credentials Updated October 05, 2020

Recorded as LOGAN MARTIN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 05, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508463365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2020
Last Update: August 01, 2023
Sole Proprietor: No

Mailing Address

1700 Summer St Apt C92

Manchester, TN 373552396

Phone: 6155871436

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.