Individual provider Active NPI

Matthew E Karen, MD

  • Otolaryngology Physician
  • Stockbridge, GA
National Provider Identifier
1477519833
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
93362 Issued in GA
Practice address
1365 Rock Quarry Rd Ste 300
Stockbridge, GA 30281-5024
Phone
(770) 740-1860
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 93362 GA Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 93362 GA

Addresses

Primary practice location

1365 Rock Quarry Rd Ste 300
Stockbridge, GA 30281-5024

Mailing address

2365 Old Milton Pkwy Ste 100
Alpharetta, GA 30009-2140
Phone (770) 740-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20040806000095 VA Practitioner - Otolaryngology 2264404763 Reassigns benefits to 1 organization
I20221004003979 GA Practitioner - Otolaryngology 2264404763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia ENT, LLCGroup PAC ID 3779021118, 12 clinicians

Practice addresses (Care Compare)

1000 Commerce Dr
Suite 200
Peachtree City, GA 30269-3520
Phone (470) 489-0090

Hospital & facility affiliations

  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93362GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 22, 2016 Accepting new patients
Magnolia ENT, LLC Otolaryngology CurrentSince Jun 1, 2024 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Mar 22, 2016 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Alpharetta Surgery Center LLC Past Accepting new patients
Magnolia Surgery Center, LLC Past Accepting new patients
ENT of Georgia, LLC Otolaryngology Past Accepting new patients

Locations

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1015 Lafayette Pkwy
Ste 130
Lagrange, GA 30241
Phone (470) 489-0090

1595 Highway 34 E
Newnan, GA 30265
Phone (678) 206-2202

1000 Commerce Dr
Ste 200
Peachtree Cty, GA 30269
Phone (470) 489-0090

20 Francis Way
Ste 300
Sharpsburg, GA 30277
Phone (678) 857-3211

1365 Rock Quarry Rd
Ste 300
Stockbridge, GA 30281
Phone (470) 489-0090

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

2055 Valley Ave
Winchester, VA 22601
Phone (540) 535-8636

Interoperability endpoints

  • Direct secure messaging: mkaren265413@direct.valleywisehealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1477519833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 OLD MILTON PKWY STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092140",
            "telephone_number": "770-740-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD STE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815024",
            "telephone_number": "770-740-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREN",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "93362",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "GA",
            "license": "93362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.