Individual provider Active NPI

Matthews W Gwynn, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1225112667
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
034147 Issued in GA
Practice address
990 Hammond Dr Ste 325
Atlanta, GA 30328-6175
Phone
(404) 256-3720
Fax
(404) 843-9032
NPI assigned
Oct 24, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 034147 GA Primary
Specialist 174400000X 034147 GA
Neurology Physician 2084N0400X 44418 KY
Neurology Physician 2084N0400X 33050 SC
Neurology Physician 2084N0400X ME117503 FL
Neurology Physician 2084N0400X 2010-02036 NC
Neurology Physician 2084N0400X 0101045114 VA
Neurology Physician 2084N0400X 01079030A IN
Neurology Physician 2084N0400X 46696 AZ

Addresses

Primary practice location

990 Hammond Dr Ste 325
Atlanta, GA 30328-6175

Mailing address

990 Hammond Dr Ste 325
Atlanta, GA 30328-6175
Phone (404) 256-3720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgwynn534396@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20101116000173 GA Practitioner - Neurology 0244425320 Reassigns benefits to 1 organization
I20151118002590 TN Practitioner - Neurology 0244425320

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta NeurologyGroup PAC ID 0446231013, 4 clinicians

Practice addresses (Care Compare)

5673 Peachtree Dunwoody Rd
Atlanta, GA 30342-1775
Phone (404) 256-3720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034147GAMDSpecialist
47490TNMDPharmacist
46696AZMDNeurology Physician
ME117503FLMDNeurology Physician
44418KYMDNeurology Physician
2010-02036NCMDNeurology Physician
33050SCMDNeurology Physician
0101045114VAMDNeurology Physician
34147GAMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Neurology Specialist CurrentSince Dec 31, 1994 Accepting new patients
St. Joseph's Hospital Past Accepting new patients
Saint Josephs Hospital of Atlanta Inc Past Accepting new patients

Locations

5673 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-3822

5673 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-6118

990 Hammond Dr
Ste 325
Sandy Springs, GA 30328
Phone (404) 256-3720

993 Johnson Ferry Rd
Ste F120
Sandy Springs, GA 30342
Phone (404) 256-3720

Interoperability endpoints

  • Direct secure messaging: matthew.gwynn.p17@direct.tenet.nextgenshare.com

Organizations & group practices 3

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 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1225112667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HAMMOND DR STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286175",
            "telephone_number": "404-256-3720",
            "fax_number": "404-843-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HAMMOND DR STE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286175",
            "telephone_number": "404-256-3720",
            "fax_number": "404-843-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYNN",
        "first_name": "MATTHEWS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "034147",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "034147",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "44418",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "33050",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME117503",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2010-02036",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101045114",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01079030A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "46696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgwynn534396@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 S Creasy Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.