Miney Mathews, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

84640 Issued in GA

Practice address

711 Charles Gilman Jr Ave Ste B
Kingsland, GA 31548-5664

Phone

(912) 510-9728

Fax

(912) 510-9752

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miney Mathews Professional name

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miney.mathews.1@12891.direct.athenahealth.com

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.

• McKinney Medical Center Inc

  dba Mckinney Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Waycross, GA
  • NPI 1487665733
  Medicare reassignment NPD
• Agape Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
  • NPI 1962867762
  Medicare reassignment NPD
• McKinney Medical Center Inc

  dba Mckinney Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Alma, GA
  • NPI 1134454911
  NPD
• McKinney Medical Center Inc

  dba McKinney Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Kingsland, GA
  • NPI 1821476193
  NPD
• Agape Community Health Center, Inc

  dba Agape Community Health Center, Inc- University

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, FL
  • NPI 1245695774
  NPD
• Edward Health Ventures

  • Family Medicine Physician
  • Naperville, IL
  • NPI 1154371185
  NPD (past)
• Edward Health Ventures

  • Psychiatry Physician
  • Plainfield, IL
  • NPI 1225108251
  NPD (past)
• Edward Health Ventures

  • Child & Adolescent Psychiatry Physician
  • Naperville, IL
  • NPI 1245281724
  NPD (past)
• Edward Health Ventures

  • Pediatrics Physician
  • Naperville, IL
  • NPI 1346291838
  NPD (past)
• Edward Health Ventures

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1467637264

  Hospitalist

  NPD (past)
• Edward Health Ventures

  • Psychiatry Physician
  • Naperville, IL
  • NPI 1568413995
  NPD (past)
• Edward Health Ventures

  • Psychiatry Physician
  • Naperville, IL
  • NPI 1992862114
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1447209937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CHARLES GILMAN JR AVE STE B",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485664",
            "telephone_number": "912-510-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CHARLES GILMAN JR AVE STE B",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485664",
            "telephone_number": "912-510-9728",
            "fax_number": "912-510-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MINEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "84640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220936",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099774 1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINEY",
            "last_name": "MATHEWS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lyons Home Care LLC
• Jenita Lyons
• Ruxandra Marina Denis Mares, MD
• Marvin P. Jones MD PC
• Genevieve Matherne, OT
• Richard J McKibben, PT, DSC, ECS
• McKinney Medical Center Inc (McKinney Community Health Center)
• Keli L McMullen, SLP
• Andrea Dee McNutt
• Ciara Meadows, CCC-SLP

• Pediatrics Physician in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.