Individual provider Active NPI

Sarah Matovu, M.D.

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1508832825
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032613 Issued in GA
Practice address
1209 Hightower Rd
Macon, GA 31206-2905
Phone
(478) 784-3535
Fax
(478) 784-3534
NPI assigned
Feb 27, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 032613 GA Primary

Addresses

Primary practice location

1209 Hightower Rd
Macon, GA 31206-2905

Mailing address

1209 Hightower Rd
Macon, GA 31206-2905
Phone (478) 784-3535

Other identifiers 1

IdentifierTypeStateIssuer
000528228CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050722000091 GA Practitioner - Family Practice 0648207530

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Primary Care, Inc.Group PAC ID 6103907316, shared by 7 NPIs, 10 clinicians

Practice addresses (Care Compare)

207 Green St
Warner Robins, GA 31093-2727
Phone 4787874266229

400 Poplar St
Macon, GA 31201-3336
Phone (478) 787-4266

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Primary Care, Inc. CurrentSince Jun 29, 2020 Accepting new patients
First Choice Primary Care, Inc CurrentSince Jun 29, 2020 Accepting new patients
First Choice Primary Care, Inc. Past Accepting new patients
Health Services of Central Georgia, Inc Family Medicine PastSince Jun 1, 2004 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

770 Walnut St
Macon, GA 31201
Phone (478) 755-1110

207 Green St
Warner Robins, GA 31093
Phone 4787874266229

Interoperability endpoints

  • Direct secure messaging: sarah.matovu@fcpc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1508832825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HIGHTOWER RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312062905",
            "telephone_number": "478-784-3535",
            "fax_number": "478-784-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HIGHTOWER RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312062905",
            "telephone_number": "478-784-3535",
            "fax_number": "478-784-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOVU",
        "first_name": "SARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "032613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000528228C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.