Active NPI
Matthew A Vargo, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 070172
- Practice address
- 200 Hawthorne LN
Charlotte, NC 28204-2515 - Phone
- (704) 384-4239
- Fax
- (704) 384-5636
- NPI assigned
- Mar 1, 2006
- Last updated
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN116871 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN101773 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN10846 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 070172 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
Charlotte, NC 28204-2515
Mailing address
13113 Atkins Circle Dr
Apt 101
Charlotte, NC 28277-3777
Phone (704) 384-4274
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363218 | Medicaid | TN | |
| NAN817 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MVARGO46369@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, SC, TN
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525
4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525
9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040
941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (865) 546-8040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3638 | SC | MD | Pediatric Dentist |
| 070172 | NC | MD | Certified Registered Nurse Anesthetist |
| APN10846 | TN | MD | Certified Registered Nurse Anesthetist |
| RN101773 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Piedmont Triad Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| CMC-Northeast, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Ambulatory Anesthesia of Pinehurst, PA | Past | Accepting new patients | |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| York County Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Gaston Anesthesia Associates, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
145 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-1770
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
2515 Desales Ave
Chattanooga, TN 37404
Phone (423) 648-6672
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Interoperability endpoints
- mvargo46369@direct.novanthealth.org
Organizations & group practices 15
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Anesthesiology Physician
- Winston Salem, NC
- NPI 1467497081
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
dba CHI Memorial Family Practice Associates - Lafayette
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1306867015
-
dba Crna
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1023105905
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gastonia, NC
- NPI 1770618878
Nurse Anesthetist, Certified Registered
-
dba Atrium Health Cabarrus
- General Practice Physician
- Concord, NC
- NPI 1265754915
-
dba Novant Health Presbyterian Medical Center CRNAs
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital Hixson
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
dba Memorial Hospital
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
dba Parkridge Medical Center
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1134196017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13113 ATKINS CIRCLE DR",
"address_2": "APT 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773777",
"telephone_number": "704-384-4274",
"fax_number": "704-384-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "MATTHEW",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN116871",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN101773",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN10846",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "070172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363218",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN817",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MVARGO46369@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "200 Hawthorne Ln",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.