Abul Faiz Mohammad Matin, M.D., PH.D.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

43697 Issued in GA

Practice address

993 Johnson Ferry Rd Ste C300
Atlanta, GA 30342-1658

Phone

(404) 257-0080

Fax

(404) 257-0592

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Sleep MedicineAlso: Internal Medicine, Pulmonary Disease

Education

Emory University School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553
  Medicare reassignment Care Compare group NPD
• Northside Primary Care Professional Services, LLC

  • Urgent Care Clinic/Center
  • Dawsonville, GA
  • NPI 1215369715
  NPD
• RSS Michael Dierkes LLC

  • Dentist
  • Atlanta, GA
  • NPI 1720595994
  NPD
• Sleep Disorders Center of Georgia, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Atlanta, GA
  • NPI 1619038320
  NPD
• Virtuox, LLC

  • Physiological Laboratory
  • Coral Springs, FL
  • NPI 1518906940
  NPD
• RSS Gary Nelson LLC

  • General Practice Dentistry
  • Alpharetta, GA
  • NPI 1306358668
  NPD (past)

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

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1033115258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD STE C300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421658",
            "telephone_number": "404-257-0080",
            "fax_number": "404-257-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD STE C300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421658",
            "telephone_number": "404-257-0080",
            "fax_number": "404-257-0592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Hembree Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300763816",
            "country_code": "US",
            "telephone_number": "770-777-7427",
            "fax_number": "770-777-7426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIN",
        "first_name": "ABUL",
        "middle_name": "FAIZ MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "43697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068593807A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kunal Mohan Mathur, MD
• Shagun Mathur, MD
• Emilie Lauren Mathura, DO
• Kettia Mathurin, FNP
• Carla Matias, LPC
• Kate Matise
• Ricky Carter Matkins, MD
• Sahar Matloub, PHARMD
• Cynthia Carrin Matson
• Miwa Matsumoto, PT

• Sleep Medicine (Internal Medicine) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Sleep Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.

Verify at the official NPI Registry.