Emily Kate Matthews, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23115 Issued in MS

Practice address

4612 29TH Ave
Meridian, MS 39305-1652

Phone

(601) 512-0431

NPI assigned

Nov 18, 2009

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Dermatology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Cancer Center PLLCGroup PAC ID 3375953409, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Merit-based Incentive Payment System (MIPS)

Final score

91.59 of 100Reported as group

Quality

83.19

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dermatology & Skin Cancer Center PLLC

  • Dermatology Physician
  • Meridian, MS
  • NPI 1285245423
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology and Skin Cancer Center PLLC

  • Dermatology Physician
  • Meridian, MS
  • NPI 1598374258
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• Rush Medical Foundation

  dba Ochsner Rush Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399
  Care Compare affiliation

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1639407331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051652",
            "telephone_number": "601-512-0431",
            "fax_number": "601-482-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051652",
            "telephone_number": "601-512-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4612 29th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393051652",
            "country_code": "US",
            "telephone_number": "601-512-0431",
            "fax_number": "601-482-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "EMILY",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23115",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "23115",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "U01893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Scott Massingill, M.D.
• Meagan Mathews, FNP-C
• Mathis Net, LLC
• Priscilla May Mathis
• James C. Matthews III, D.O.
• Katrina Matthews
• Whittney Howell Matthews, PHARMD
• Michelle Boudreau Mattingly
• Mattress Express by Woodstock Furniture
• Maxem Health Urgent Care Meridian

• Dermatology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.