Dr. Reginald Willis Martin, M.D.

Dr. Reginald Willis Martin is a Surgery Physician provider (Surgery) practicing in Jackson, MS, registered in the NPPES registry with NPI 1679692396 since 2007. The credential MD stands for Doctor of Medicine.

✓ Active NPI ✓ Valid NPI checksum Sole proprietor

NPI	1679692396
Entity type	Individual (Type 1)
Name	Dr. Reginald Willis Martin
Credential	M.D.
Sex	Male
Practice address	Jackson, MS, 39216
Phone	6012004350
Fax	6012004356
Enumeration date	2007-03-28
Last updated in NPPES	2014-03-13

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
208600000X	Surgery Physician	Primary	MS 13610	MS

MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P01151405	Other	MS	RAILROAD MEDICARE
00112817	Medicaid	MS	—

Copy-ready billing details

Provider: Reginald Martin, M.D.
NPI: 1679692396
Taxonomy: 208600000X (Surgery Physician)
Address: Jackson, MS, 39216

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1952665325	Jenetta Thompson	Individual	Surgery Physician	Jackson, MS
1508725201	Cameron Pearson	Individual	Registered Nurse First Assistant	Jackson, MS

Verify this record

Cross-check NPI 1679692396 against the authoritative CMS record: view Dr. Reginald Willis Martin on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Reginald Martin?

The National Provider Identifier (NPI) for Reginald Martin is 1679692396, a Type 1 (individual) record in the CMS NPPES registry.

Where does Reginald Martin practice?

The practice location on file with NPPES is in Jackson, MS. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-03-13.