Active NPI
Charles David Matthews, M.S.
- Professional Counselor
- Decatur, GA
National Provider Identifier
1376755900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3701
- Practice address
- 2799 Lawrenceville Hwy
Suite 107
Decatur, GA 30033-2517 - Phone
- (770) 414-5800
- Fax
- (770) 621-9118
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C0014 | GA | |
| Professional Counselor | 101YP2500X | LPC002022 | GA | |
| Professional Counselor | 101YP2500X | 3701 | NC | Primary |
| Marriage & Family Therapist | 106H00000X | MFT000849 | GA | |
| Marriage & Family Therapist | 106H00000X | 795 | NC |
Addresses
Primary practice location
2799 Lawrenceville Hwy
Suite 107
Decatur, GA 30033-2517
Mailing address
755 Park LN
Decatur, GA 30033-5454
Phone (404) 444-2633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0014 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC002022 | GA | MD | Professional Counselor |
| MFT000849 | GA | MD | Marriage & Family Therapist |
| 3701 | NC | MD | Chiropractor |
| 795 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376755900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 PARK LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335454",
"telephone_number": "404-444-2633",
"fax_number": "770-621-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 LAWRENCEVILLE HWY",
"address_2": "SUITE 107",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332517",
"telephone_number": "770-414-5800",
"fax_number": "770-621-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "CHARLES",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "C0014",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002022",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3701",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT000849",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "795",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.