Active NPI
Matthew Joel Wade, MD
- Internal Medicine Physician
- Columbus, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20337
- Practice address
- 2520 5TH St N
Columbus, MS 39705-2008 - Phone
- (662) 244-2042
- Fax
- (662) 244-2041
- NPI assigned
- Jul 31, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20337 | MS | Primary |
Addresses
Primary practice location
2520 5TH St N
Columbus, MS 39705-2008
Mailing address
PO Box 405827
Atlanta, GA 30384-5827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08807834 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Baptist Blvd
Suite 301
Columbus, MS 39705-2006
Phone (662) 244-2288
Hospital & facility affiliations
- BMH-Golden Triangle
- The Windsor Place
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital - Golden Triangle Inc. | Past | Accepting new patients | |
| Windsor Place Nursing Center Inc | Past | Accepting new patients |
Locations
112 Medical Arts Dr
Calhoun City, MS 38916
Phone (662) 628-1274
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
2104 5th St N
Columbus, MS 39705
Phone (662) 244-1705
232 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-5122
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369
140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
Interoperability endpoints
- matthew.wade.1@23614.direct.athenahealth.com
- mwade4343@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
- Skilled Nursing Facility
- Columbus, MS
- NPI 1265449367
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1508022476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052008",
"telephone_number": "662-244-2042",
"fax_number": "662-244-2041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "MATTHEW",
"middle_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "20337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08807834",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.