Individual provider Active NPI

John R. Mattheis, MD

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1053361329
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19564 Issued in SC
Practice address
555 E Cheves St
Florence, SC 29506-2617
Phone
(843) 777-2800
Fax
(843) 777-2810
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19564 SC Primary

Addresses

Primary practice location

555 E Cheves St
Florence, SC 29506-2617

Mailing address

PO Box 100567
Florence, SC 29501-0567
Phone (843) 777-2800

Other identifiers 1

IdentifierTypeStateIssuer
T35389MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040427001354 SC Practitioner - Family Practice 8729075239 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Health ClarendonGroup PAC ID 0840582656, 60 clinicians
McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, shared by 7 NPIs, 401 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

50 E Hospital St
Manning, SC 29102-3149

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000

710 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone (843) 537-0010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc. Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 9, 2020 Accepting new patients
McLeod Physician Associates II Family Medicine Current Accepting new patients
McLeod Health Clarendon Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jun 30, 2001 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Current Accepting new patients
McLeod Physician Associates II CurrentSince Jul 9, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jun 30, 2001 Accepting new patients
McLeod Physician Associates II CurrentSince Jul 9, 2020 Accepting new patients
McLeod Health Clarendon Family Medicine CurrentSince Jul 9, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Past Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Past Accepting new patients

Locations

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

710 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-0001

1001 W Sumter St
Florence, SC 29501
Phone (843) 664-4158

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

2437 Willwood Dr
Florence, SC 29501
Phone (843) 777-3000

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

50 E Hospital St
Ste 2
Manning, SC 29102
Phone (803) 435-5222

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

Interoperability endpoints

  • Direct secure messaging: jmattheis25531@directmcleodehealth.org

Organizations & group practices 12

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 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1053361329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100567",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010567",
            "telephone_number": "843-777-2800",
            "fax_number": "843-777-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-777-2800",
            "fax_number": "843-777-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEIS",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "19564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T35389",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.