Active NPI
Jeffery Scott Matthews, M.S., L.P.C.
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1457495855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003491
- Practice address
- 2801 Buford Hwy NE
Suite 505
Atlanta, GA 30329-2149 - Phone
- (770) 747-0478
- Fax
- (404) 315-9235
- NPI assigned
- Feb 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC003491 | GA | Primary |
Addresses
Primary practice location
2801 Buford Hwy NE
Suite 505
Atlanta, GA 30329-2149
Mailing address
2801 Buford Hwy NE
Suite 505
Atlanta, GA 30329-2149
Phone (770) 747-0478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 21, 2024 through Feb 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC003491 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457495855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "SUITE 505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292149",
"telephone_number": "770-747-0478",
"fax_number": "404-315-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE",
"address_2": "SUITE 505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292149",
"telephone_number": "770-747-0478",
"fax_number": "404-315-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "JEFFERY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "M.S., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003491",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.