Active NPI
Neuropathways, PLLC
- Pain Medicine (Psychiatry & Neurology) Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mathew Wallace, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2314003 | Neuropathways, PLLC | Certificate of waiver | Nov 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Montgomery, AL
- NPI 1306945829
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
- Net Al
- Connie Megan Nettles, CRNP
- Jessika Chandrea Nettles
- Neurological Care Center of Montgomery PC
- Neurology Consultants of Montgomery, PC
- Neurosurgery Associates of Central Alabama PC
- Laquarria S Nevins, LMSW
- Leigh Anne Tucker Nevins, D.M.D.
- New Beacon Healthcare Group, LLC (New Beacon of Montgomery)
- New Beacon Healthcare Group, LLC (Faith and Grace Hospice)
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.