Individual provider Active NPI

Matthew Tyler Motley, CRNA

  • Certified Registered Nurse Anesthetist
  • Opelika, AL
National Provider Identifier
1356754980
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-144718 Issued in AL
Practice address
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone
(334) 749-3411
Fax
(334) 395-4110
NPI assigned
Jun 11, 2014
Last updated
Oct 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-144718 AL Primary
Certified Registered Nurse Anesthetist 367500000X RN285627 GA

Addresses

Primary practice location

2000 Pepperell Pkwy
Opelika, AL 36801-5452

Mailing address

1555 Alex Ave
Auburn, AL 36830-6696
Phone (334) 524-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141013001325 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961622006 Reassigns benefits to 3 organizations
I20210119002177 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961622006 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi North Anesthesia, LLCGroup PAC ID 6204179773, 12 clinicians

Practice addresses (Care Compare)

4150 Deputy Bill Cantrell Memorial Rd
Suite 200
Cumming, GA 30040-3005
Phone (404) 446-0600

5669 Peachtree Dunwoody Rd
Suite 210
Atlanta, GA 30342-1762
Phone (404) 255-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-144718ALMDCertified Registered Nurse Anesthetist
RN285627GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2021 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince May 2, 2022 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2021 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Jan 1, 2019 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Anesthesia Services of North Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2021 Accepting new patients
Ivy Creek Specialty Care Current Accepting new patients
Ivy Creek Specialty Care CurrentSince Dec 1, 2020 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jun 1, 2020 Accepting new patients
Mae Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Spectrum Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2021 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Jun 8, 2022 Accepting new patients
Gi North Anesthesia, LLC CurrentSince May 3, 2024 Accepting new patients
MTM Anesthesia, LLC Current Accepting new patients
Ivy Creek of Elmore LLC CurrentSince Jun 1, 2020 Accepting new patients
JC Anesthesia LLC CurrentSince Oct 25, 2021 Accepting new patients
Gi North Endoscopy.LLC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

67 Peachtree Park Dr NE
Ste 101
Atlanta, GA 30309
Phone (404) 378-1550

1210 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 322-1717

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

4150 Dep Bill Cantrell Memorial Rd
Ste 200
Cumming, GA 30040
Phone (404) 446-0600

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

625 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-0292

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

Interoperability endpoints

  • FHIR API: https://662acb6b-2e6a-4a18-a64c-d0df200218d5.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1356754980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 ALEX AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306696",
            "telephone_number": "334-524-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-749-3411",
            "fax_number": "334-395-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "MATTHEW",
        "middle_name": "TYLER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-144718",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN285627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.