Active NPI
Matthew J. Wilson, M.D.
- Cardiovascular Disease Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 054294
- Practice address
- 755 Mt Vernon Hwy
Suite 530
Atlanta, GA 30328 - Phone
- (404) 252-7970
- Fax
- (404) 250-0553
- NPI assigned
- Jan 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 054294 | GA | Primary |
Addresses
Primary practice location
755 Mt Vernon Hwy
Suite 530
Atlanta, GA 30328
Mailing address
755 Mt Vernon Hwy
Suite 530
Atlanta, GA 30328-4274
Phone (404) 252-7970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- West Virginia University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 Mount Vernon Hwy NE
Suite 530
Atlanta, GA 30328-4287
755 Mount Vernon Nehwy
Suite 530
Atlanta, GA 30328-4287
Phone (404) 252-7970
755 Mt Vernon Hwy
Suite 530
Atlanta, GA 30328
Hospital & facility affiliations
- Northside Hospital
- Saint Joseph'S Hospital of Atlanta, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.41 of 100
- Quality
- 69.85
- Improvement activities
- 40
- Cost
- 64.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Josephs Hospital of Atlanta Inc | Current | Accepting new patients | |
| Saint Josephs Hospital of Atlanta Inc | Current | Accepting new patients | |
| Cardiology of Atlanta | Cardiovascular Disease | Current | Accepting new patients |
| Cardiology of Georgia | Cardiovascular Disease | Past | Accepting new patients |
Locations
5667 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 851-5100
755 Mount Vernon Hwy NE
Ste 530
Sandy Springs, GA 30328
Phone (404) 252-7970
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
Networks
- AL HMO D-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1858
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1497941991
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
-
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1497724181
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1255495479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1003093600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 MT VERNON HWY",
"address_2": "SUITE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284274",
"telephone_number": "404-252-7970",
"fax_number": "404-250-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MT VERNON HWY",
"address_2": "SUITE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "404-252-7970",
"fax_number": "404-250-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MATTHEW",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-25",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "054294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.