Matthew Kyle Austin, MD
Individual provider Active NPI Family Medicine Physician · Holly Springs, GA
NPI 1114487220 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1114487220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 92797 (GA)
- Practice address
- 1120 Wellstar Way Ste 105
Holly Springs, GA 30114-8952 - Phone
- (678) 494-2500
- Fax
- (678) 494-2629
- NPI assigned
- Mar 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Mercer University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
12201 Hwy 92
Suite D
Woodstock, GA 30188-7141
Phone (770) 517-4621
12460 Crabapple Rd
Suite 901
Alpharetta, GA 30004-6392
Phone (678) 762-0574
3747 Roswell Rd
Marietta, GA 30062-6227
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
5655 Atlanta Hwy
Alpharetta, GA 30004-5208
Phone (770) 691-0819
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar North Fulton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825000743 | GA | Practitioner - Family Practice | 2163759390 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current |
Accepting new patients |
Locations
1120 Wellstar Way
Ste 105
Holly Springs, GA 30114
Phone (678) 494-2500
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 92797 | GA | Yes |
Addresses
Primary practice location
1120 Wellstar Way Ste 105
Holly Springs, GA 30114-8952
Mailing address
1120 Wellstar Way Ste 105
Holly Springs, GA 30114-8952
Phone (678) 494-2500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maustin604363@ehrdirect.mayoclinicmsg.org | ||
| Direct Messaging Address | amatthew491265@directwellstar.org | Health Information Exchange (HIE) |
Other providers in Holly Springs, GA
- Geoffrey Paul Aaron
- Oluranti A Aladesanmi
- Sakeena Irene Anderson
- Ijeoma Cecilia Anyanwu
- Nasir Ali Asghar
- Holly Megan Barker
- Ashley Michelle Bell
- Mary Blalock
- Body Expressions the Aesthetic Edge
- Randall James Boyd
All providers in Holly Springs, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.