Matthew Elijah Ilao, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

286403 Issued in GA

Practice address

433 Highland Pkwy
East Ellijay, GA 30540-7656

Phone

(770) 737-2803

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Merit-based Incentive Payment System (MIPS)

Final score

78.89 of 100Reported as group

Quality

70.82

Promoting interoperability

78

Improvement activities

40

Cost

77.15

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1255037701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 ARROWHEAD DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329477",
            "telephone_number": "770-685-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HIGHLAND PKWY",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305407656",
            "telephone_number": "770-737-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAO",
        "first_name": "MATTHEW",
        "middle_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "286403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartlite Hospice Care, Inc
• Heartlite Hospice Ellijay, Inc.
• Joanna Ho
• Hospice Advantage, LLC. (Compassus - North Georgia)
• Kristin Hunter, FNP-C
• Immediate Medcare, LLC
• Independent Physical Therapy of Georgia, LLC
• John W. Davis, DC, PA (Davis Family Chiropractic)
• Asim Kidwai, MD
• Laurel Medical MGMT PC (Laurel Medical Center)

• Family Nurse Practitioner in East Ellijay, GA
• Providers in East Ellijay, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.