Individual provider Active NPI

Matthew Nijem Varn, MD

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1316370851
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
84968 Issued in GA
Practice address
3301 N Oak Street Ext
Valdosta, GA 31605-1014
Phone
(229) 242-6061
Fax
(229) 242-6151
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009121 GA
Student in an Organized Health Care Education/Training Program 390200000X GA
Internal Medicine Physician 207R00000X 84968 GA Primary

Addresses

Primary practice location

3301 N Oak Street Ext
Valdosta, GA 31605-1014

Mailing address

3301 N Oak Street Ext
Valdosta, GA 31605-1014
Phone (229) 242-6061

Other practice location 1

1400 Coleman Ave
Macon, GA 31207-0001
Phone (478) 301-2700

Other practice location 2

764 Pine St
Macon, GA 31201
Phone (478) 633-1721

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909000846 GA Practitioner - HospitalistPractitioner - Internal Medicine 1951652403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Mercer University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brian C. Griner, MD, LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Jan 1, 2021 Accepting new patients
Apogee Medical Group Georgia Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
South Georgia Medical Center Inc CurrentSince Nov 1, 2024 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Jan 1, 2021 Accepting new patients
South Georgia Medical Center Inc Student in an Organized Health Care Education/Training Program CurrentSince Nov 1, 2024 Accepting new patients
Mercer University School of Medicine Student in an Organized Health Care Education/Training Program Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

3301 N Oak Street Ext
Valdosta, GA 31605
Phone (229) 242-6061

604 E Park Ave
Valdosta, GA 31602
Phone (229) 333-0277

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 8

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.

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1316370851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N OAK STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051014",
            "telephone_number": "229-242-6061",
            "fax_number": "229-242-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N OAK STREET EXT",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051014",
            "telephone_number": "229-242-6061",
            "fax_number": "229-242-6151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Coleman Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312070001",
            "country_code": "US",
            "telephone_number": "478-301-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 Pine St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-633-1721",
            "fax_number": "478-633-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARN",
        "first_name": "MATTHEW",
        "middle_name": "NIJEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "009121",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "84968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.