Individual provider Active NPI

Dara P Matthew, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1326380759
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
77642 Issued in GA
Practice address
275 Collier Rd NW Ste 250
Atlanta, GA 30309-1701
Phone
(404) 355-1285
Fax
(404) 351-5840
NPI assigned
Mar 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 77642 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

275 Collier Rd NW Ste 250
Atlanta, GA 30309-1701

Mailing address

275 Collier Rd NW Ste 250
Atlanta, GA 30309-1701

Other practice location 1

2160 S 1st Ave
Loyola Outpatient Cneter, 4300
Maywood, IL 60153-3328
Phone (708) 216-8078

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
I20181219000542 GA Practitioner - Obstetrics/Gynecology 9234430554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Women's Heathcare Specialists, LLCGroup PAC ID 0345246021, 46 clinicians

Practice addresses (Care Compare)

275 Collier NWRD
Suite 250
Atlanta, GA 30309-1701
Phone (404) 355-1285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77642GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women's Heathcare Specialists, LLC Single Specialty CurrentSince Oct 17, 2018 Accepting new patients
Atlanta Women's Healthcare Specialists 3 LLC Single Specialty Past Accepting new patients

Locations

275 Collier Rd NW
Ste 250
Atlanta, GA 30309
Phone (404) 355-1285

275 Collier Rd NW
Ste 100B
Atlanta, GA 30309
Phone (404) 352-1235

3020 Paces Mill Rd SE
Ste 225
Atlanta, GA 30339

3925 Peachtree Rd NE
Ste 240
Brookhaven, GA 30319
Phone (404) 355-0320

Organizations & group practices 2

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": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326380759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091701",
            "telephone_number": "404-355-1285",
            "fax_number": "404-351-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "Loyola Outpatient Cneter, 4300",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-8078",
            "fax_number": "708-216-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "DARA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "77642",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.