Individual provider Active NPI

Matthew D McLeod, MD

  • Plastic Surgery Physician
  • Savannah, GA
National Provider Identifier
1699933093
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
79975 Issued in GA
Practice address
2280 E Victory Dr Ste C
Savannah, GA 31404-3957
Phone
(912) 468-5464
Fax
(912) 777-6175
NPI assigned
Jun 2, 2008
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 79975 GA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 270153 MA

Addresses

Primary practice location

2280 E Victory Dr Ste C
Savannah, GA 31404-3957

Mailing address

2280 E Victory Dr Ste C
Savannah, GA 31404-3957
Phone (912) 468-5464

Other practice location 1

7208 Hodgson Memorial Dr
Savannah, GA 31406-2512
Phone (912) 351-5050

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113000639 GA Practitioner - Plastic and Reconstructive Surgery 9739318544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Mercer University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2280 E Victory Dr
Suite C
Savannah, GA 31404-3957
Phone (912) 468-5464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79975GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaport Plastic Surgery PC Plastic Surgery CurrentSince May 1, 2023 Accepting new patients

Locations

2280 E Victory Dr
Ste C
Savannah, GA 31404
Phone (912) 468-5464

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1699933093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 E VICTORY DR STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043957",
            "telephone_number": "912-468-5464",
            "fax_number": "912-777-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E VICTORY DR STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043957",
            "telephone_number": "912-468-5464",
            "fax_number": "912-777-6175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7208 Hodgson Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062512",
            "country_code": "US",
            "telephone_number": "912-351-5050",
            "fax_number": "912-351-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "79975",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "270153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.