Individual provider Active NPI

Matthew M Mondi, MD

  • Surgery Physician
  • Augusta, GA
National Provider Identifier
1720092471
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
060940 Issued in GA
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

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10409292MedicaidVA
7406921OtherNCAETNA
3810008155MedicaidWV
808466OtherNCPARTNERS
Q0015HMedicaidSC
190681OtherNCMEDCOST
5905895MedicaidNC
1429KOtherNCBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000123 GA Practitioner - General Surgery 6002912250 Reassigns benefits to 4 organizations

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
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision32
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004-00150NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Sep 1, 2023 Accepting new patients
Umg General Surgery LLC Surgery CurrentSince Dec 1, 2022 Accepting new patients
Augusta Surgical Group, P.C. Surgery CurrentSince Jun 19, 2023 Accepting new patients
Matthew M. Mondi, P.C. Surgery CurrentSince Jun 9, 2008 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.