Individual provider Active NPI

Matthew Aaron Prevost, MD

  • Orthopaedic Surgery Physician
  • Jasper, AL
National Provider Identifier
1033600044
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.48713 Issued in AL
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

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U2294OtherTXTEXAS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001323 AL Practitioner - Orthopedic Surgery 9436496221 Reassigns benefits to 2 organizations

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
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion97
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

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Jun 27, 2024 Accepting new patients
Baptist Health Centers LLC CurrentSince Sep 1, 2025 Accepting new patients
Southern Orthopaedic Alliance, PLLC Orthopaedic Surgery CurrentSince Jun 27, 2024 Accepting new patients
Baptist Health Centers, LLC CurrentSince Sep 1, 2025 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.

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": "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

Verify at the official NPI Registry.