Josiah S Matthews IV, MD
Individual provider Active NPI Anesthesiology Physician · Albany, GA
NPI 1497717003 · NPPES record last updated Aug 24, 2015
Key facts
- NPI
- 1497717003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 041615 (GA)
- Practice address
- 2810 Meredyth Dr Ste 100
Albany, GA 31707-2278 - Phone
- (229) 496-1874
- Fax
- (229) 496-1655
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Pain Management
- Education
- Medical University of South Carolina College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2810 Meredyth Dr
Suite 100
Albany, GA 31707-2278
Phone (229) 496-1874
Hospital & facility affiliations
- Centerwell Home Health
- Phoebe Putney Memorial Hospital
- Phoebe Sumter Medical Center
- Crisp Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.32 of 100
- Quality
- 79.68
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 76.38
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080516000080 | GA | Practitioner - Interventional Pain Management |
3173545084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17443 | AL | MD | Pharmacist |
| 041615 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexus Pain Center of Albany LLC | Anesthesiology | Current |
Accepting new patients |
| Nexus of Albany Surgery Center LLC | Past |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Interventional Pain Medicine | Past | Accepting new patients |
| Sowega Anesthesia, LLC | Anesthesiology | Past |
Accepting new patients |
Locations
2810 Meredyth Dr
Ste 101
Albany, GA 31707
Phone (229) 496-1874
2810 Meredyth Dr
#100
Albany, GA 31707
Phone (229) 496-1874
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAJBCA/Endpoint/DAJBCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 041615 | GA | Yes |
| Pain Medicine Physician | 208VP0000X | 041615 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 041615 | GA |
Addresses
Primary practice location
2810 Meredyth Dr Ste 100
Albany, GA 31707-2278
Mailing address
2810 Meredyth Dr Ste 100
Albany, GA 31707-2278
Phone (229) 496-1874
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050045130 | Other | GA | PALMETTO |
| 000704954A | Medicaid | GA | |
| 507238 | Other | GA | BCBS |
Other providers in Albany, GA
- James Mashburn
- Leslie A Mashburn
- Douglas Eugene Masini
- Octavious D Mathis
- Christopher Stephen Matthews
- Bennie Cecilia Mattox
- Estera Maxim
- Kristina Everson Maxwell
- Nerissa Mayfield
- William Joel McAfee
All providers in Albany, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.