Organization Active NPI

Neuropathways, PLLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Montgomery, AL
National Provider Identifier
1619720059
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
NEUROPATHWAYS, PLLC
Practice address
4228 Lomac St Ste 2
Montgomery, AL 36106-2929
Phone
(919) 928-2351
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Dr. Mathew Wallace, MDNPI 1306945829
Title
Owner
Phone
(919) 928-2351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X Primary

Addresses

Primary practice location

4228 Lomac St Ste 2
Montgomery, AL 36106-2929

Mailing address

4228 Lomac St Ste 2
Montgomery, AL 36106-2929
Phone (919) 928-2351

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2314003Neuropathways, PLLC4228 Lomac Street, Suite 2, Montgomery, AL 36106Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

Locations

4228 Lomac St
Ste 2
Montgomery, AL 36106
Phone (919) 928-2351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1619720059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 LOMAC ST STE 2",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062929",
            "telephone_number": "919-928-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 LOMAC ST STE 2",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062929",
            "telephone_number": "919-928-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHWAYS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-928-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.