Matthew Demore III, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001325 Issued in GA

Practice address

400 Cedar St
Metter, GA 30439-3338

Phone

(912) 685-5741

NPI assigned

Jul 5, 2005

Last updated

Jul 22, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Authority of Candler CountyGroup PAC ID 5294623948, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler County Hospital Hospital, Metter, GA, CCN 111334

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.demore.1@23328.direct.athenahealth.com
• Direct secure messaging: matthew.demore@hca5.eclinicaldirectplus.com
• Direct secure messaging: matthew.demore@srpcc.gadirect.net

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.

• Hospital Authority of Candler County

  dba Candler County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Metter, GA
  • NPI 1588868947
  Medicare reassignment Care Compare group NPD
• Podiatry Assoc of the Ohio College of Podiatric Medicine

  dba Beachwood Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
  • NPI 1255402442
  NPD (past) Authorized official
• Hospital Authority of Candler County

  dba Pulaski Health & Wellness

  • Primary Care Clinic/Center
  • Pulaski, GA
  • NPI 1316523707
  NPD
• Hospital Authority of Candler County

  dba Candler County Hospital

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  NPD
• Southeast Regional Primary Care Corporation

  • Multi-Specialty Clinic/Center
  • Vidalia, GA
  • NPI 1467568907
  NPD
• Hospital Authority of Candler County

  dba Candler Medical Group RHC

  • Rural Health Clinic/Center
  • Metter, GA
  • NPI 1790088169
  NPD (past)
• Atta J Asef DPM LTD

  dba Lake Podiatry

  • Podiatrist
  • Willoughby Hills, OH
  • NPI 1073793154

  Foot & Ankle Surgery

  NPD (past)
• Ksu Foot & Ankle Clinic

  dba Cleveland Foot & Ankle Clinic

  • Podiatrist
  • Independence, OH
  • NPI 1265793111

  Foot & Ankle Surgery

  NPD (past)

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

• Hospital Authority of Candler County

  dba Candler County Hospital

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  Care Compare affiliation

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1659378750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-538-0040",
            "fax_number": "912-538-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393338",
            "telephone_number": "912-685-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Doctors St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393337",
            "country_code": "US",
            "telephone_number": "912-685-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMORE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001325",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-002649D",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Wesley Clance Jr.
• Stacey Marie Clifton, FNP
• Companion Care at Home, LLC (Companion Care Senior Services)
• Companion Care of Georgia, LLC (Companion Care of Georgia)
• Loy D Cowart III, MD
• Phyllis Franklin Dixon, FNP-C
• Doctors to Go, LLC
• Doctors to Go, LLC
• Yvonne C. Donaldson, FNP
• Dva Healthcare Renal Care Inc (Candler County Dialysis)

• Foot & Ankle Surgery Podiatrist in Metter, GA
• Providers in Metter, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.