Individual provider Active NPI

Matthew Dean Sockwell, MD

  • Anesthesiology Physician
  • Dahlonega, GA
National Provider Identifier
1285635383
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036616 Issued in GA
Practice address
104 Ansley Dr
Dahlonega, GA 30533-1614
Phone
(706) 867-4116
Fax
(706) 867-4120
NPI assigned
Aug 10, 2005
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036616 GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036616 GA

Addresses

Primary practice location

104 Ansley Dr
Dahlonega, GA 30533-1614

Mailing address

PO Box 1565
Dahlonega, GA 30533-0027
Phone (706) 867-4116

Other identifiers 2

IdentifierTypeStateIssuer
217890OtherGABCBSGA PROVIDER ID NUMBER
000539107IMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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
I20070514000040 GA Practitioner - Anesthesiology 9537266366 Reassigns benefits to 1 organization
I20220603000679 FL Practitioner - Anesthesiology 9537266366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

449 W 23Rd St
Panama City, FL 32405-4507
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036616GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Aug 12, 2024 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology Current Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Aug 13, 2024 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Mountainside Anesthesia Consultants LLC Anesthesiology Past Accepting new patients
Chestatee Emergency Physicians, LLC Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

2061 Beverly Rd
Gainesville, GA 30501
Phone (706) 867-4116

2406 Lighthouse Manor Dr
Gainesville, GA 30501
Phone (404) 536-4352

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1285635383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1565",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330027",
            "telephone_number": "706-867-4116",
            "fax_number": "706-867-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ANSLEY DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331614",
            "telephone_number": "706-867-4116",
            "fax_number": "706-867-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKWELL",
        "first_name": "MATTHEW",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "036616",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "036616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA PROVIDER ID NUMBER",
            "identifier": "217890",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000539107I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.