Matthew Thompson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111405 Issued in FL

Practice address

805 East CR 466
Lady Lake, FL 32159

Phone

(352) 674-9218

NPI assigned

Apr 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Matthew Macedo Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

You and Your Health Family Care Inc 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mthompson1006169@adventhealth.direct-ci.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.

• You and Your Health Family Care Inc

  • Family Medicine Physician
  • Tavares, FL
  • NPI 1972696011

  FL

  Medicare reassignment Care Compare group
• Adventist Health System Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610

  FL

  Medicare reassignment
• Adventist Health System /Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Kissimmee, FL
  • NPI 1629624432

  Physician Assistant

  NPD
• Adventist Health System/ Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Physician Assistant

  NPD
• Adventist Health System/Sunbelt, Inc

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114

  Physician Assistant

  NPD
• Adventist Health System/Sunbelt, Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1902583412

  Single Specialty

  NPD
• Institute of Endocrinology Diabetes Health and Hormones

  • Endocrinology, Diabetes & Metabolism Physician
  • Panama City, FL
  • NPI 1376951541

  Single Specialty

  NPD (past)
• Orlando Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Springs, FL
  • NPI 1205389905

  Single Specialty

  NPD (past)
• Paramount Urgent Care Inc

  • Urgent Care Clinic/Center
  • Windermere, FL
  • NPI 1477014744
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071

  Hospital

  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Florida Hospital Waterman Inc

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1710449657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14606 PALE CEDAR SQ APT 304",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871424",
            "telephone_number": "774-510-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EAST CR 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-674-9218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 North Blvd W Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378976",
            "country_code": "US",
            "telephone_number": "863-547-9200 x315",
            "fax_number": "863-547-9221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7932 W Sand Lake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197299",
            "country_code": "US",
            "telephone_number": "407-355-7759",
            "fax_number": "407-355-4987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414420",
            "country_code": "US",
            "telephone_number": "407-962-4447 x2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "MACEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Villages Internal Medicine and Geriatrics
• The Villages Nursing and Rehab LLC
• The Villages Rehabilitation Services LLC
• Jeffrey R Thill, M.D.
• Kelsie Thomas
• Hina Aslam Ticknor
• TLC ASC, LLC
• Maxwell Tran, MD
• Trevisani Oral Surgery the Villages
• Tri-County Heart Institute PA

• All providers in Lady Lake, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.