Individual provider Active NPI

Mark Robert Matthews, M.D.

  • Diagnostic Radiology Physician
  • Rock Hill, SC
National Provider Identifier
1245264647
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26723 Issued in SC
Practice address
218 S Herlong Ave
Rock Hill, SC 29732-1158
Phone
(803) 327-2828
Fax
(803) 329-1173
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26723 SC Primary

Addresses

Primary practice location

218 S Herlong Ave
Rock Hill, SC 29732-1158

Mailing address

218 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 327-2828

Other identifiers 1

IdentifierTypeStateIssuer
PA2363MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, HI, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041209000593 SC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8921903386 Reassigns benefits to 3 organizations
I20180802001139 HI Practitioner - Diagnostic Radiology 8921903386 Reassigns benefits to 1 organization
I20250826002798 GA Practitioner - Interventional Radiology 8921903386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Coastal Radiology Associates PLLCGroup PAC ID 8224002696, 25 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

218 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (336) 274-6682

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (855) 504-4544

29015 Windjammer Dr
Tega City, SC 29708-7222
Phone (336) 274-6682

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

6 Millwright Dr
Hilton Head, SC 29926-1234
Phone (336) 274-6682

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26723SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Oct 15, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jul 11, 2023 Accepting new patients
Musc Community Physicians CurrentSince Oct 15, 2024 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jun 13, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 9, 2025 Accepting new patients
Prospect Hill Radiology Group P C Diagnostic Radiology Past Accepting new patients
Mohawk Glen Radiology Associates of Cny PLLC Diagnostic Radiology Past Accepting new patients
St. Josephs Imaging Associates PLLC Diagnostic Radiology PastSince Aug 1, 1996 Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients
Central New York Pet LLC PastSince Sep 19, 2001 Accepting new patients

Locations

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

218 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 327-2828

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 7

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1245264647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-327-2828",
            "fax_number": "803-329-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-327-2828",
            "fax_number": "803-329-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "26723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2363",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.