Active NPI
Matthew White Womack, M.D.
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 73673
- Practice address
- 5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831 - Phone
- (770) 874-6873
- Fax
- (678) 235-6758
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Emergency Medicine Physician | 207P00000X | 73673 | GA | Primary |
Addresses
Primary practice location
5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831
Mailing address
5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-6873
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
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 382-1530
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 83.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73673 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| North Fulton Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Allatoona Emergency Group PC | Emergency Medicine | Current | Accepting new patients |
| Lavender Inpatient Services LLC | Past | Accepting new patients |
Locations
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
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.
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1487381349
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Roswell, GA
- NPI 1053456954
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1902215767
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1427315100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-6873",
"fax_number": "678-235-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-6873",
"fax_number": "678-235-6758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "MATTHEW",
"middle_name": "WHITE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "73673",
"primary": true
}
],
"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 Jun 17, 2015; 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.