Active NPI
Ellen Matthews, RN
- Registered Nurse
- Suwanee, GA
National Provider Identifier
1639029184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-205259
- Practice address
- 1300 Peachtree Industrial Blvd Ste 4201
Suwanee, GA 30024-4540 - Phone
- (770) 831-3018
- Fax
- (770) 831-3669
- NPI assigned
- Feb 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-205259 | AL | Primary |
Addresses
Primary practice location
1300 Peachtree Industrial Blvd Ste 4201
Suwanee, GA 30024-4540
Mailing address
1072 Briar Cliff LN
Auburn, AL 36830-2315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-205259 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sugarloaf Medical P.C. | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAFEAA
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1639029184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 BRIAR CLIFF LN",
"city": "AUBURN",
"state": "AL",
"postal_code": "368302315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244540",
"telephone_number": "770-831-3018",
"fax_number": "770-831-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "ELLEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-205259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.