Individual provider Active NPI

Matthew Phillips, MD

  • Family Medicine Physician
  • Statesboro, GA
National Provider Identifier
1366723710
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
083092 Issued in GA
Practice address
658 Northside Dr E Ste a
Statesboro, GA 30458-4828
Phone
(912) 764-9684
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 083092 GA Primary

Addresses

Primary practice location

658 Northside Dr E Ste a
Statesboro, GA 30458-4828

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.phillips.1@8824.direct.athenahealth.com Direct

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
I20201116002969 GA Practitioner - Family Practice 1355637794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

128 Parker Ave N
Brooklet, GA 30415-8208
Phone (912) 842-2101

1497 Fair Rd
Statesboro, GA 30458-0823

658 Northside Dr E
Suite a
Statesboro, GA 30458-4828
Phone (912) 764-9684

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
083092GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Oct 27, 2020 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Oct 27, 2020 Accepting new patients
East Georgia Hma Physician Management, LLC Family Medicine CurrentSince Oct 20, 2025 Accepting new patients
Southern Family Medicine of Georgia, LLC Family Medicine CurrentSince Aug 11, 2019 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

658 Northside Dr E
Ste A
Statesboro, GA 30458
Phone (912) 764-9684

1140 Brampton Ave
Statesboro, GA 30458
Phone (912) 871-2273

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.phillips.1@8824.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1366723710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 NORTHSIDE DR E STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584828",
            "telephone_number": "912-764-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "083092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.phillips.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "658 Northside Dr E Ste A",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304584828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.