Active NPI
Matthew M Mondi, MD
- Surgery Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 060940
- Practice address
- 818 Saint Sebastian Way Ste 104
Augusta, GA 30901-2652 - Phone
- (706) 434-0130
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2004-00150 | NC | |
| Surgery Physician | 208600000X | 060940 | GA | Primary |
Addresses
Primary practice location
818 Saint Sebastian Way Ste 104
Augusta, GA 30901-2652
Mailing address
PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6008
Other practice location 1
1430 Harper St
Building B
Augusta, GA 30901-0619
Phone (706) 724-5451
Other practice location 2
1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 722-9011
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10409292 | Medicaid | VA | |
| 7406921 | Other | NC | AETNA |
| 3810008155 | Medicaid | WV | |
| 808466 | Other | NC | PARTNERS |
| Q0015H | Medicaid | SC | |
| 190681 | Other | NC | MEDCOST |
| 5905895 | Medicaid | NC | |
| 1429K | Other | NC | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540
Hospital & facility affiliations
- Piedmont Augusta Hospital
- Wellstar MCG Health, Affiliated With Med Col
- Doctors Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 32 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-00150 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Umg General Surgery LLC | Surgery | Current | Accepting new patients |
| Augusta Surgical Group, P.C. | Surgery | Current | Accepting new patients |
| Matthew M. Mondi, P.C. | Surgery | Current | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1430 Harper St
Ste B
Augusta, GA 30901
Phone (706) 724-5451
818 Saint Sebastian Way
Ste 104
Augusta, GA 30901
Phone (706) 434-0130
51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540
2500 University Dr
Thomson, GA 30824
Phone (706) 595-1186
Organizations & group practices 4
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.
-
- Surgery Physician
- Augusta, GA
- NPI 1235303314
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Surgery Physician
- Augusta, GA
- NPI 1275626038
-
- Surgery Physician
- Thomson, GA
- NPI 1306250907
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1720092471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1705",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309031705",
"telephone_number": "706-854-6008",
"fax_number": "706-774-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 SAINT SEBASTIAN WAY STE 104",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012652",
"telephone_number": "706-434-0130"
}
],
"practiceLocations": [
{
"address_1": "1430 Harper St",
"address_2": "Building B",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309010619",
"country_code": "US",
"telephone_number": "706-724-5451",
"fax_number": "706-724-9562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Walton Way",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012612",
"country_code": "US",
"telephone_number": "706-722-9011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONDI",
"first_name": "MATTHEW",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2004-00150",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "060940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10409292",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7406921",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008155",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "808466",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0015H",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "190681",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905895",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1429K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.