Penny James Matlock, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

145631 Issued in NC

Practice address

1985 Startown Rd
Suite 102
Hickory, NC 28602-8307

Phone

(828) 327-4745

Fax

(828) 322-3569

NPI assigned

Jan 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 34)

Interoperability endpoints

• Direct secure messaging: penny.matlock@cvmg.eclinicaldirectplus.com

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.

• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Catawba, NC
  • NPI 1790062362
  Medicare reassignment Care Compare group NPD
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  Medicare reassignment NPD
• Catawba Valley Medical Group Inc

  • Ambulatory Surgical Clinic/Center
  • Hickory, NC
  • NPI 1659267359
  NPD
• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1952678013
  NPD
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD
• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Sherrills Ford, NC
  • NPI 1326325994
  NPD (past)

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

• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255
  Care Compare affiliation
• DLP Frye Regional Medical Center LLC

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349
  Care Compare affiliation

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1043557069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 STARTOWN RD",
            "address_2": "SUITE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028307",
            "telephone_number": "828-327-4745",
            "fax_number": "828-322-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 STARTOWN RD",
            "address_2": "SUITE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028307",
            "telephone_number": "828-327-4745",
            "fax_number": "828-322-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "PENNY",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "145631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan K Martinez, LCMHCA
• Aidan Lin Martino, PT, DPT
• Regina Mason, LCSW-A
• Tracy Nicole Mason
• Alan D Massengill, M.D.
• Deidra Michelle Matthews, PHARMD
• Jeffery Carl Matthews, CRNA
• Lizabeth Leigh Matthews, PHD, LPC, BCCC
• Frank W. Mauldin, M.D.
• Leah Tatum Maulding, CNM

• Family Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.