John Dail Matthews, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

28666 Issued in NC

Practice address

1313 Carolina Street
Suite 103
Greensboro, NC 27401

Phone

(336) 272-2625

Fax

(336) 275-7507

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 11

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Ophthalmology

Education

Medical University of South Carolina College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moses Cone Affiliated Physicians, Inc.Group PAC ID 3779635396, 80 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmatthews32188@direct.conehealth.com

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.

• Moses Cone Affiliated Physicians, Inc

  dba Greensboro Gynecology Associates

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
  • NPI 1346474103
  Medicare reassignment Care Compare group NPD
• Central Carolina Surgical Eye Associates, P.a.

  dba Southeastern Eye Center

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1811994031
  NPD
• Moses Cone Affiliated Physicians

  dba Triad Retina and Diabetic Eye Center

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1912270109
  NPD
• Moses Cone Affiliated Physicians, Inc.

  dba Gynecology Center of Greensboro

  • Gynecology Physician
  • Greensboro, NC
  • NPI 1417610627
  NPD
• Eyecarecenter, O.D., P.a.

  dba EyeCare Center

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD (past)
• Southeastern Cataract Laser Center

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1063771616
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1659375483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CAROLINA ST",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016000",
            "telephone_number": "336-272-2625",
            "fax_number": "336-275-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 CAROLINA STREET",
            "address_2": "SUITE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-272-2625",
            "fax_number": "336-275-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JOHN",
        "middle_name": "DAIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-09-20",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "010132083",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "28666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "10599",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3954711",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4098004",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "278835",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PROVIDER #",
            "identifier": "742",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICARE PROVIDER #",
            "identifier": "180000348",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "54711",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180025050",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICAID PROVIDER #",
            "identifier": "006360033",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER #",
            "identifier": "035008",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "46637",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmatthews32188@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1313 Carolina Street",
            "address_2": "Suite 103",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew W Devaney DDS @ Brassfield, PA (DeVaney Dentistry @ Brassfield)
• Matthew W. Devaney, D.D.S. & Associates PLLC (Summerfield Family Dentistry)
• Aeriel Wynnell Matthews
• Dinah Matthews
• Edwina Matthews, QP, TCM
• Kacie Matthews, PA
• Katherine Stevens Matthews, PHARMD
• Mara Matthews
• Michael Allen Matthews, CRNA
• Michaela Matthews, RN

• Ophthalmology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.