Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tammy Pruitt Martinez, PA-C

Individual provider Physician Assistant · NPI 1619944154

Tammy Pruitt Martinez, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2004, 22 years ago. Practices with First Coast Family Medicine PA, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Rhode Island.

Years since qualifying
22
Licensed in
FL, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9130 R G Skinner Pkwy
Jacksonville, FL 32256
Phone: (045) 538-0950
Fax: (904) 538-0952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4498 Hendricks Ave, Jacksonville, FL 32207-6326 — (049) 854-1730
  • 2 Wake Robin Rd, Lincoln, RI 02865-4241 — (401) 334-3105

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110936 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA00359 (RI)

Record details

NPI number1619944154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice First Coast Family Medicine Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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