Active NPI
Matthew Dean Sockwell, MD
- Anesthesiology Physician
- Dahlonega, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036616
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217890 | Other | GA | BCBSGA PROVIDER ID NUMBER |
| 000539107I | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036616 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Concordia Anesthesiology, Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
-
- Emergency Medicine Physician
- Dahlonega, GA
- NPI 1366474777
-
- Anesthesiology Physician
- Jasper, GA
- NPI 1346327152
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
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
- Kelsey Smith, DPT
- Nicole Lea Smith, FNP-C
- Shannon Price Smith, P.T.
- Timothy Gene Smith, LPN
- Kim Leigh Sockwell, CRNA
- Susan L. Sockwell, D.M.D.
- Solutions for Growth, Inc.
- Gary Donald Souders, LPC
- Southern Health Corporation of Dahlonega, Inc (Chestatee Medical Group)
- Southwind Agency, Inc. (All About Feet)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.