Individual provider Active NPI

Matthew J. Wilson, M.D.

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1003093600
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
054294 Issued in GA
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

Updated by the provider on Sep 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000019 GA Practitioner - Cardiovascular Disease (Cardiology) 3072683689 Reassigns benefits to 2 organizations

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
Cardiology of AtlantaGroup PAC ID 6608957469, 3 clinicians

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 Hospital, Atlanta, GA, CCN 110161
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
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)

OrganizationSpecialtyStatusNew patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Sep 1, 2008 Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Sep 1, 2008 Accepting new patients
Cardiology of Atlanta Cardiovascular Disease CurrentSince Aug 1, 2008 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.