Individual provider Active NPI

Marianne Szal Matthews, FNP

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1427354380
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN095379 Issued in GA
Practice address
1290 Athens St
Gainesville, GA 30507-7000
Phone
(770) 535-5802
Fax
(770) 535-5742
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN095379 GA Primary

Addresses

Primary practice location

1290 Athens St
Gainesville, GA 30507-7000

Mailing address

1290 Athens St
Gainesville, GA 30507-7000
Phone (770) 535-5802

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000458 GA Practitioner - Nurse Practitioner 1951545102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3350 Breckinridge Blvd
Suite 200
Duluth, GA 30096-4959
Phone (770) 962-8396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN095379GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Impact Health Centers Inc CurrentSince Mar 1, 2020 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1427354380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 ATHENS ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305077000",
            "telephone_number": "770-535-5802",
            "fax_number": "770-535-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 ATHENS ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305077000",
            "telephone_number": "770-535-5802",
            "fax_number": "770-535-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MARIANNE",
        "middle_name": "SZAL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN095379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.