Individual provider Active NPI

Matthew Peter Mumber, MD

  • Radiation Oncology Physician
  • Rome, GA
National Provider Identifier
1053473793
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
041625 Issued in GA
Practice address
255 W 5TH St SW
Rome, GA 30165-2817
Phone
(706) 234-1400
Fax
(706) 232-5018
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 041625 GA Primary

Addresses

Primary practice location

255 W 5TH St SW
Rome, GA 30165-2817

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Other identifiers 1

IdentifierTypeStateIssuer
000714645JMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.mumber.1@1498.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050301000406 GA Practitioner - Radiation Oncology 0547213605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

255 W 5TH St SW
Rome, GA 30165-2817
Phone (762) 235-3930

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC CurrentSince Mar 1, 2005 Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Mar 1, 2005 Accepting new patients

Locations

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

321 W 5th St SW
Rome, GA 30165
Phone (706) 234-1400

101 Redmond Rd NW
Rome, GA 30165
Phone (706) 290-1330

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

255 W 5th St SW
Rome, GA 30165
Phone (762) 235-3930

Interoperability endpoints

  • Direct secure messaging: matthew.mumber.1@1498.direct.athenahealth.com
  • Direct secure messaging: mmumber980614@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1053473793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 5TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652817",
            "telephone_number": "706-234-1400",
            "fax_number": "706-232-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMBER",
        "first_name": "MATTHEW",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "041625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000714645J",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.mumber.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "255 W 5th St SW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301652817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.