Individual provider Active NPI

Matthew G Marshall, MD

  • Neurology Physician
  • Savannah, GA
National Provider Identifier
1124462403
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
081715 Issued in GA
Practice address
5102 Paulsen St
Savannah, GA 31405
Phone
(706) 721-8623
Fax
(706) 721-1459
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01078785A IN
Neurology Physician 2084N0400X 081715 GA Primary

Addresses

Primary practice location

5102 Paulsen St
Savannah, GA 31405

Mailing address

1120 15TH St Ste Bi1056
Augusta, GA 30912-0004
Phone (706) 721-3813

Other practice location 1

600 Mary St
Evansville, IN 47710-1674
Phone (812) 450-7338

Other practice location 2

600 Mary St
Evansville, IN 47710-1674
Phone (812) 450-7338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210903002443 WV Practitioner - Neurology 5294049664 Reassigns benefits to 1 organization
I20230715000479 FL Practitioner - Neurology 5294049664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Specialty Physicians LLCGroup PAC ID 6002943198, 17 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
1St Floor
Pensacola, FL 32514-6039
Phone (850) 494-3954

Hospital & facility affiliations

  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081715GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Specialty Physicians LLC CurrentSince Jul 15, 2023 Accepting new patients
Monongalia County General Hospital Company CurrentSince Sep 21, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Jan 1, 2019 Accepting new patients
Au Medical Associates Inc CurrentSince Jan 1, 2019 Accepting new patients
SJC Medical Group Inc Neurology CurrentSince Dec 1, 2018 Accepting new patients

Locations

8333 N Davis Hwy
Fl 4
Pensacola, FL 32514
Phone (850) 474-8610

8383 N Davis Hwy
Fl 1
Pensacola, FL 32514
Phone (850) 494-3954

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

410 Mall Blvd
Ste E
Savannah, GA 31406
Phone (912) 352-7194

5102 Paulsen St
Savannah, GA 31405
Phone (912) 349-4227

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

602 E 72nd St
Savannah, GA 31405
Phone (912) 819-7800

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Interoperability endpoints

  • Direct secure messaging: matthew.marshall@hca5.eclinicaldirectplus.com

Organizations & group practices 5

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1124462403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST STE BI1056",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813",
            "fax_number": "706-721-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mary St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101674",
            "country_code": "US",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Mary St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101674",
            "country_code": "US",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01078785A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "081715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.