NPIMap

Individual provider Active NPI

Matthew Tyler Melson, D.O.

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1114304730
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.1769 Issued in AL
Practice address
117 Renaissance St
Florence, AL 35630-1207
Phone
(256) 765-0002
Fax
(256) 765-0022
NPI assigned
May 4, 2015
Last updated
May 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 DO.1769 AL Primary

Addresses

Primary practice location

117 Renaissance St
Florence, AL 35630-1207

Mailing address

117 Renaissance St
Florence, AL 35630-1207
Phone (256) 765-0002

Other practice location 1

156 Titan Dr
Florence, AL 35630
Phone (256) 740-0690

Other practice location 2

201 W. Avalon Avenue
Muscle Shoals, AL 35661-2805
Phone (256) 386-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180626003491 AL Practitioner - Family PracticePractitioner - Emergency Medicine 3476808858 Reassigns benefits to 6 organizations
I20250916003902 TN Practitioner - Family Practice 3476808858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
NWMC Emergency Physicians LLCGroup PAC ID 0941604169, 13 clinicians
Emergency Services of Mobile, PCGroup PAC ID 5092968255, 33 clinicians
Middle Tennessee Emergency Physicians, P.C.Group PAC ID 3678464526, 85 clinicians
Sycamore Lakeland LLCGroup PAC ID 2668915471, 22 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

1530 US Hwy 43
Winfield, AL 35594-5056
Phone (205) 487-7773

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

2000 Church St
Nashville, TN 37236-0002
Phone (615) 284-5555

42024 Hwy 195
Haleyville, AL 35565-7054
Phone (205) 486-5213

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1769ALMDFamily Medicine Physician
1769ALMDHand Occupational Therapist
6430TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Mobile PC CurrentSince Mar 11, 2024 Accepting new patients
NWMC Emergency Physicians LLC CurrentSince Jun 1, 2024 Accepting new patients
Sycamore Lakeland LLC CurrentSince Apr 1, 2024 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince Mar 1, 2019 Accepting new patients
Full Life Wellness, PC CurrentSince May 25, 2019 Accepting new patients
Lakeland Physicians LLC Family Medicine CurrentSince Jan 13, 2024 Accepting new patients
Shoal's Family Practice-Urgent Care LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Lakeland Physician Practices LLC Family Medicine Past Accepting new patients

Locations

156 Titan Dr
Florence, AL 35630
Phone (256) 740-0690

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1110 E 6th St
Ste D
Muscle Shoals, AL 35661
Phone (256) 397-8842

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

Organizations & group practices 10

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 6

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1114304730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 RENAISSANCE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301207",
            "telephone_number": "256-765-0002",
            "fax_number": "256-765-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 RENAISSANCE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301207",
            "telephone_number": "256-765-0002",
            "fax_number": "256-765-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Titan Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "35630",
            "country_code": "US",
            "telephone_number": "256-740-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W. Avalon Avenue",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612805",
            "country_code": "US",
            "telephone_number": "256-386-1600",
            "fax_number": "256-768-9187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELSON",
        "first_name": "MATTHEW",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.