TAMMY PRUITT MARTINEZ (PA-C) – Physician Assistant, NPI 1619944154
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for TAMMY PRUITT MARTINEZ (PA-C)
9130 R G SKINNER PARKWAY
JACKSONVILLE, FL 32256
Phone: (045) 538-0950
Fax: (904) 538-0952
Type: Location
2 Wake Robin Rd
Suite 103
Lincoln, RI 028654241
Phone: (401) 334-3105
Fax: (401) 334-1144
Type: Location
4498 Hendricks Ave
Jacksonville, FL 322076326
Phone: (049) 854-1730
Fax: (904) 402-8000
Type: Location
4498, Hendricks Avenue, Miramar Terrace, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322076326
Phone: (904) 854-1730
Fax: (904) 402-8000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $762.
Total Amount is formed as General ($762) + Research ($0) + Ownership ($0) = $762.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($381).
Total Amount
$762
General + Research + Ownership
Payments
19
Total payment records
General Amount
$762
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $381 |
| ABBVIE INC. | $125 |
| GlaxoSmithKline, LLC. | $42 |
| Exact Sciences Corporation | $38 |
| Novo Nordisk Inc | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180202002155 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | RI | 83036 | Hemoglobin A1C level | 44 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Family Practice | FL | |
| Family Practice | FL |
Reviews
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