Active NPI
Dara P Matthew, MD
- Obstetrics & Gynecology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 77642
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77642 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Women's Heathcare Specialists, LLC | Single Specialty | Current | 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.
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1568471910
Single Specialty
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1528198223
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.