Organization Active NPI

Gim Services PLLC

Doing business as Pacific Family & Internal Medicine

  • Internal Medicine Physician
  • Sequim, WA
National Provider Identifier
1174965230
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GIM SERVICES PLLC
Doing business as
Pacific Family & Internal Medicine
Practice address
201 S Sunnyside Ave Ste 207
Sequim, WA 98382-3808
Phone
(360) 775-3515
Fax
(855) 919-5976
NPI assigned
Jul 18, 2013
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
George Mathew, MD, PHDNPI 1366484735
Title
President
Phone
(360) 775-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Primary Care Clinic/Center 261QP2300X WA

Addresses

Primary practice location

201 S Sunnyside Ave Ste 207
Sequim, WA 98382-3808

Mailing address

PO Box 145
Sequim, WA 98382-4302
Phone (360) 775-3515

Other names 1

  • Pacific Family & Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130920000383 WA Part B Supplier - Clinic/Group Practice 0749424307 Receives reassigned benefits from 2 practitioners
Practice locations: Sequim, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2073232Pacific Family & Internal Medicine201 S Sunnyside Ave, Sequim, WA 98382Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

201 S Sunnyside Ave
Ste 207
Sequim, WA 98382
Phone (360) 775-3515

500 W Fir St
Ste C
Sequim, WA 98382
Phone (360) 504-3601

522 N 5th Ave
Ste 104
Sequim, WA 98382

618 E Washington St
Sequim, WA 98382
Phone (360) 775-3515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1174965230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983824302",
            "telephone_number": "360-775-3515",
            "fax_number": "855-919-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SUNNYSIDE AVE STE 207",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823808",
            "telephone_number": "360-775-3515",
            "fax_number": "855-919-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIM SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-775-3515",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Family & Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Family & Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.

Verify at the official NPI Registry.