Organization Active NPI

Matthew J Markey PA

  • Specialist
  • Cumming, GA
National Provider Identifier
1306900394
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
GA.17067 Issued in GA
Legal business name
MATTHEW J MARKEY PA
Practice address
1140 Turner Rd
Cumming, GA 30041-5360
Phone
(770) 887-5521
Fax
(770) 887-5523
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Matthew Jay Markey, M.D.NPI 1740278753
Title
President
Phone
(770) 887-5521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X GA.17067 GA Primary

Addresses

Primary practice location

1140 Turner Rd
Cumming, GA 30041-5360

Mailing address

1140 Turner Rd
Cumming, GA 30041-5360
Phone (770) 887-5521

Other identifiers 1

IdentifierTypeStateIssuer
000082673AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430002331 GA Part B Supplier - Clinic/Group Practice 7012140866 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1306900394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 TURNER RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415360",
            "telephone_number": "770-887-5521",
            "fax_number": "770-887-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TURNER RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415360",
            "telephone_number": "770-887-5521",
            "fax_number": "770-887-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J MARKEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MARKEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-887-5521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "GA.17067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082673A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.