Active NPI
T Keith Matthews, D.O.
- Family Medicine Physician
- Blairsville, GA
National Provider Identifier
1427013739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 039632
- Practice address
- 56 Appalachian Ave
Blairsville, GA 30512-2271 - Phone
- (706) 781-3994
- Fax
- (706) 781-3997
- NPI assigned
- Apr 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 039632 | GA | Primary |
Addresses
Primary practice location
56 Appalachian Ave
Blairsville, GA 30512-2271
Mailing address
56 Appalachian Ave
Blairsville, GA 30512-2271
Phone (706) 781-3994
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039632 | Other | GA | LICENSE |
| 11D0962278 | Other | GA | CLIA |
| 000717142B | Medicaid | GA | |
| 9601668 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| T. Keith Matthews, D.O.,P.C. | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Blairsville, GA
- NPI 1942561121
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1427013739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 APPALACHIAN AVE",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122271",
"telephone_number": "706-781-3994",
"fax_number": "706-781-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 APPALACHIAN AVE",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122271",
"telephone_number": "706-781-3994",
"fax_number": "706-781-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "T",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "039632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "039632",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "11D0962278",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000717142B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "9601668",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.