NPIMap

Individual provider Active NPI

Matthew E. Barnett, MD

  • Family Medicine Physician
  • Magnolia, AR
National Provider Identifier
1013953157
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3827 Issued in AR
Practice address
211 E Stadium
Magnolia, AR 71753-2032
Phone
(870) 234-3042
NPI assigned
Jun 20, 2006
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3827 AR Primary
Family Medicine Physician 207Q00000X L8274 TX

Addresses

Primary practice location

211 E Stadium
Magnolia, AR 71753-2032

Mailing address

211 E Stadium
Magnolia, AR 71753-2032
Phone (870) 234-3042

Other identifiers 1

IdentifierTypeStateIssuer
154229001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001250 AR Practitioner - Family Practice 3375526510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Group LLCGroup PAC ID 1153413786, 6 clinicians

Practice addresses (Care Compare)

211 E Stadium
Magnolia, AR 71753-2032
Phone (870) 234-5995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.52 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
48.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions187
Removal of nail tissue1-10
Removal or shaving of skin growth118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3827ARMDFamily Medicine Physician
L8274TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Group LLC Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Urgent Care Associates LLC CurrentSince Dec 15, 2017 Accepting new patients

Locations

211 E Stadium
Magnolia, AR 71753
Phone (870) 234-5995

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1013953157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532032",
            "telephone_number": "870-234-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532032",
            "telephone_number": "870-234-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MATTHEW",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3827",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154229001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.