Edwin Keith Matthews, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25048 Issued in AL

Practice address

2422 Danville Road
Suite E
Decatur, AL 35603

Phone

(256) 355-9040

Fax

(256) 355-9048

NPI assigned

Jul 18, 2006

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

University of Maryland School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gill Family Medicine, P.C.Group PAC ID 4587684188, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gill Family Medicine, P.C.

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1467539775
  Medicare reassignment Care Compare group NPD
• Advantage Family Care Inc

  • Urgent Care Clinic/Center
  • Florence, AL
  • NPI 1023447943

  Family Medicine

  Medicare reassignment NPD
• Advantage Family Care, Inc.

  dba Huntsville Hospital Urgent Care

  • Rural Health Clinic/Center
  • Athens, AL
  • NPI 1518674936
  NPD
• Gill Family Medicine, P.C.

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1144574872
  NPD (past)
• Valley Pain Clinic LLC

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, AL
  • NPI 1386944239
  NPD (past)
• Georgia Department of Human Resources

  dba West Central Georgia Regional Hospital

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)
• Houston Hospitals Inc

  dba Emory Hospital Warner Robins

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H H Health System-Morgan LLC

  dba Decatur Morgan Hospital-Decatur Campus

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297
  Care Compare affiliation
• Hga Homecare, LLC

  dba Decatur Morgan HomeCare

  • Home Health Agency
  • Decatur, AL
  • NPI 1144409004
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1316965908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5750",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-355-9040",
            "fax_number": "256-355-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 DANVILLE ROAD",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35603",
            "telephone_number": "256-355-9040",
            "fax_number": "256-355-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "EDWIN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25048",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00025048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630105060",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51513850",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529402090",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwin.matthews@gillfam.direct.medconnect-inc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2422 Danville Road",
            "address_2": "Suite E",
            "city": "Decatur",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele Marie Martinez, RBT
• Rachelle S Martinez, LMT
• Marx Optical Inc
• Daryl Ashlan Mason, LPC
• Kandale Mathis
• John Christopher Matthews, PHARMD
• Scott Acklin Matthews, MD
• Phillip Gerard Maxwell, D.C.
• Ashley Pearson May, MS
• Brandi Maye

• Family Medicine Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.

Verify at the official NPI Registry.