Individual provider Active NPI

Scott Matson, DO

  • Obstetrics & Gynecology Physician
  • Tazewell, TN
National Provider Identifier
1306896162
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO1498 Issued in TN
Practice address
1720 Church St Ste 4
Tazewell, TN 37879-3004
Phone
(423) 626-2410
Fax
(423) 626-2591
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X DO1498 TN
Obstetrics & Gynecology Physician 207V00000X DO1498 TN Primary

Addresses

Primary practice location

1720 Church St Ste 4
Tazewell, TN 37879-3004

Mailing address

1720 Church St Ste 4
Tazewell, TN 37879-3004
Phone (423) 626-2410

Other identifiers 3

IdentifierTypeStateIssuer
1942567326OtherNPI
1521614MedicaidTN
64131386MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000140 TN Practitioner - Obstetrics/GynecologyPractitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Addiction Medicine 5294828257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Addiction Medicine, Family Practice, Osteopathic Manipulative Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1720 Church St
Suite 4
Tazewell, TN 37879-3004
Phone (423) 626-2410

534 W 5TH N St
Morristown, TN 37814-3926
Phone (423) 587-8786

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1498TNMDObstetrics & Gynecology Physician
1498TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Center TN Multi-Specialty CurrentSince Feb 14, 2011 Accepting new patients
Women'S Health Center & Primary Care Obstetrics & Gynecology Current Accepting new patients
Multispecialty Medical P.C. Multi-Specialty Past Accepting new patients
Apex Womens Services PLLC Multi-Specialty Past Accepting new patients

Locations

534 W 5th North St
Morristown, TN 37814
Phone (423) 587-8786

1442 N Broad St
Ste 5
Tazewell, TN 37879
Phone (423) 626-2410

1610 Tazewell Rd
Ste 202
Tazewell, TN 37879
Phone (423) 626-2410

1720 Church St
Ste 4
Tazewell, TN 37879
Phone (423) 626-2410

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1306896162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CHURCH ST STE 4",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793004",
            "telephone_number": "423-626-2410",
            "fax_number": "423-626-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CHURCH ST STE 4",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793004",
            "telephone_number": "423-626-2410",
            "fax_number": "423-626-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSON",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1498",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942567326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521614",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64131386",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.