Individual provider Active NPI

Matthew Lowery, M.D.

  • Emergency Medicine Physician
  • San Angelo, TX
National Provider Identifier
1215354113
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
76430 Issued in GA
Practice address
120 E Harris Ave
San Angelo, TX 76903-5904
Phone
(325) 653-6741
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 76430 GA Primary

Addresses

Primary practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Mailing address

120 E Harris Ave
San Angelo, TX 76903-5904

Other practice location 1

655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-4106

Other practice location 2

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 259-4678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 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
I20170125000061 GA Practitioner - Emergency Medicine 1759509706 Reassigns benefits to 2 organizations
I20220601002853 TX Practitioner - Emergency Medicine 1759509706 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76430GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Emergency Medicine Associates PC Emergency Medicine CurrentSince Nov 15, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Apr 15, 2024 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Basin Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Rolling Plains Memorial Hospital Emergency Medicine CurrentSince Dec 31, 2024 Accepting new patients
Shannon Clinic CurrentSince Jun 15, 2022 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Organizations & group practices 7

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 1

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1215354113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035904",
            "telephone_number": "325-653-6741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-244-4106",
            "fax_number": "904-244-5848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N Patterson St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316021735",
            "country_code": "US",
            "telephone_number": "229-259-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2022-05-14",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "76430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.