Active NPI
Paul K Mathieu Jr., MD
- Family Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 003028
- Practice address
- 3780 Eisenhower Pkwy
Macon, GA 31206-0800 - Phone
- (478) 633-5500
- Fax
- (478) 784-3550
- NPI assigned
- Jun 30, 2008
- Last updated
- Dec 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 003028 | GA | Primary |
Addresses
Primary practice location
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Mailing address
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (478) 633-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1170
200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003028 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients | |
| Bleckley Emergency Group LLC | Past | Accepting new patients | |
| Health Services of Central Georgia, Inc | Family Medicine | Past | Accepting new patients |
| Fairview Park, Limited Partnership | Past | Accepting new patients | |
| Wellstar Medical Group, LLC | Past | Accepting new patients | |
| Medicos, P.a. | Past | Accepting new patients | |
| Kennestone Hospital, Inc. | Past | Accepting new patients |
Locations
800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000
3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
677 Church St NE
Ste 100P
Marietta, GA 30060
Phone (470) 793-8582
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Hospitalist Physician
- Savannah, GA
- NPI 1891653655
-
- Hospitalist Physician
- Birmingham, AL
- NPI 1366840761
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Physical Medicine & Rehabilitation Physician
- Vestavia Hills, AL
- NPI 1609321165
-
- Emergency Medicine Physician
- Cochran, GA
- NPI 1083928733
-
dba Fairview Park Hospital
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Family Medicine
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
dba WellStar Physician's Group Hospitalists
- Hospitalist Physician
- Marietta, GA
- NPI 1396033692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Park Hospital
- General Acute Care Hospital
- Dublin, GA
- NPI 1285688234
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1164684205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 EISENHOWER PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312060800",
"telephone_number": "478-633-5500",
"fax_number": "478-784-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 EISENHOWER PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312060800",
"telephone_number": "478-633-5500",
"fax_number": "478-784-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "PAUL",
"middle_name": "K",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "003028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.