Active NPI
Matthew Aaron Prevost, MD
- Orthopaedic Surgery Physician
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD.48713
- Practice address
- 87 19TH St W Ste 300
Jasper, AL 35501-5430 - Phone
- (205) 221-3606
- Fax
- (659) 675-2225
- NPI assigned
- May 24, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 009141 | GA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD.48713 | AL | |
| Orthopaedic Surgery Physician | 207X00000X | MD.48713 | AL | Primary |
Addresses
Primary practice location
87 19TH St W Ste 300
Jasper, AL 35501-5430
Mailing address
87 19TH St W Ste 300
Jasper, AL 35501-5430
Phone (205) 221-3606
Other practice location 1
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U2294 | Other | TX | TEXAS MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Orthopedic Surgery
- Education
- University of South Alabama College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849
3400 Hwy 78 E
Jasper, AL 35501-8956
Phone (205) 387-4000
87 19TH St W
Suite 300
Jasper, AL 35501-5430
Phone (205) 221-3606
Hospital & facility affiliations
- Amedisys Home Health of Walker
- Walker Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 97 |
| Laminectomy or laminotomy (partial removal of spine bones) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Orthopaedic Alliance PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Southern Orthopaedic Alliance, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
87 19th St W
Ste 300
Jasper, AL 35501
Phone (205) 221-3606
831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949
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.
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Orthopaedic Surgery Physician
- Mobile, AL
- NPI 1588364228
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Durable Medical Equipment & Medical Supplies
- Brewton, AL
- NPI 1093561896
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jasper, AL
- NPI 1427016997
-
- General Acute Care Hospital
- Jasper, AL
- NPI 1932553385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1033600044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 19TH ST W STE 300",
"city": "JASPER",
"state": "AL",
"postal_code": "355015430",
"telephone_number": "205-221-3606",
"fax_number": "659-675-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 19TH ST W STE 300",
"city": "JASPER",
"state": "AL",
"postal_code": "355015430",
"telephone_number": "205-221-3606",
"fax_number": "659-675-2225"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREVOST",
"first_name": "MATTHEW",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "009141",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AL",
"license": "MD.48713",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "MD.48713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "U2294",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.