Matthew George Arnp-BC PA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9213136 Issued in FL

Legal business name

MATTHEW GEORGE ARNP-BC PA

Practice address

12304 Hood Landing Rd
Jacksonville, FL 32258-2037

Phone

(904) 316-3105

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Stephen George, ARNP-BCNPI 1881714863

Title

President

Phone

(904) 316-3105

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lanier Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1932685880

  O20071018000763

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Stephen George, ARNP - BC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1881714863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1710183264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 HOOD LANDING RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582037",
            "telephone_number": "904-316-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 HOOD LANDING RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582037",
            "telephone_number": "904-316-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW GEORGE ARNP-BC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-316-3105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ARNP 9213136",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "ARNP 9213136",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9213136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AF389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry P Matteo, MD
• Sondra Matter, PH.D.
• Sharae M Matteu, LMT
• Michael John Matteucci, M.D.
• Matthew 725 Inc
• Matthew J Henry DDS PL
• Brittany Kim Matthew-Wilton, LMHC
• Martins Chima Matthew, M.D.
• Trevanne Rose Matthews Hew, MD
• Brittany Nicole Matthews

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.