Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mac T Martin, DO

Individual provider Diagnostic Radiology Physician · NPI 1619407913

Mac T Martin, DO is a Diagnostic Radiology in Charlottesville, Virginia. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2017, 9 years ago. Practices with Foundation Radiology Group PC, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Nebraska and Virginia.

Years since qualifying
9
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
CA, NE, VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Fisher Street, Apo, AA 39534 — (228) 376-3728

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0102208375 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 20A22422 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1859 (NE)

Record details

NPI number1619407913
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Foundation Radiology Group Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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