Individual provider Active NPI

Matthew Delk

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1194324426
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-139280 Issued in AL
Practice address
2055 E South Blvd Ste 308
Montgomery, AL 36116-2003
Phone
(334) 747-2390
NPI assigned
Oct 19, 2020
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-139280 AL Primary

Addresses

Primary practice location

2055 E South Blvd Ste 308
Montgomery, AL 36116-2003

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Other practice location 1

1107 N Eastern Blvd
Montgomery, AL 36117-2290
Phone (334) 647-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208001252 AL Practitioner - Nurse Practitioner 5799154092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2055 E S Blvd
Suite 308
Montgomery, AL 36116-2003
Phone (334) 747-2390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skye Health LLC CurrentSince May 9, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 1, 2025 Accepting new patients
William O. Sargeant PC CurrentSince Nov 1, 2022 Accepting new patients
Skye Consultorio Medico LLC CurrentSince Jul 21, 2024 Accepting new patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 1, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

1107 N Eastern Blvd
Montgomery, AL 36117
Phone (334) 647-1444

1758 Park Pl
Ste 100
Montgomery, AL 36106
Phone (334) 265-8455

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

Organizations & group practices 10

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.

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1194324426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 308",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162003",
            "telephone_number": "334-747-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 N Eastern Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361172290",
            "country_code": "US",
            "telephone_number": "334-647-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELK",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-139280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.