Individual provider Active NPI

Matthew Don Gillihan, MD

  • Otolaryngology Physician
  • Monroe, NC
National Provider Identifier
1730137290
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2022-02773 Issued in NC
Practice address
1107 Reynolds St
Monroe, NC 28112-4351
Phone
(704) 752-7575
Fax
(704) 752-7576
NPI assigned
May 5, 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
Otolaryngology Physician 207Y00000X 2002-0453 NM
Otolaryngology Physician 207Y00000X 2022-02773 NC Primary

Addresses

Primary practice location

1107 Reynolds St
Monroe, NC 28112-4351

Mailing address

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230224001638 SC Practitioner - Otolaryngology 2860470143 Reassigns benefits to 1 organization
I20230303001151 NC Practitioner - Otolaryngology 2860470143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Saint Louis University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Ear Nose and Throat PAGroup PAC ID 8325946759, 9 clinicians

Practice addresses (Care Compare)

7666 Charlotte Hwy
Suite 220
Indian Land, SC 29707-0004
Phone (704) 752-7575

8035 Providence Rd
Suite 320
Charlotte, NC 28277-8910
Phone (704) 752-7575

Hospital & facility affiliations

  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02773NCMDOtolaryngology Physician
2002-0453NMMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Ear Nose & Throat PA CurrentSince Jan 3, 2023 Accepting new patients
Cornerstone Ear Nose & Throat PA Otolaryngology CurrentSince Mar 19, 2023 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Limestone Surgery Center LLC Past Accepting new patients

Locations

8035 Providence Rd
Ste 320
Charlotte, NC 28277
Phone (704) 752-7575

1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220

7666 Charlotte Hwy
Ste 220
Indian Land, SC 29707
Phone (704) 752-7575

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 7

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1730137290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575",
            "fax_number": "704-752-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575",
            "fax_number": "704-752-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIHAN",
        "first_name": "MATTHEW",
        "middle_name": "DON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "2002-0453",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2022-02773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.