Individual provider Active NPI

Matthew Joel Wade, MD

  • Internal Medicine Physician
  • Columbus, MS
National Provider Identifier
1508022476
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20337 Issued in MS
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

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08807834MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000506 MS Practitioner - Internal Medicine 3870661010 Reassigns benefits to 1 organization

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
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

255 Baptist Blvd
Suite 301
Columbus, MS 39705-2006
Phone (662) 244-2288

Hospital & facility affiliations

  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • The Windsor Place Nursing home, Columbus, MS, CCN 255257

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Sep 1, 2010 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

  • Direct secure messaging: matthew.wade.1@23614.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.