Individual provider Active NPI

Matthew A Dovie, PA

  • Physician Assistant
  • Gainesville, GA
National Provider Identifier
1740217017
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003457 Issued in GA
Practice address
2335 Limestone Overlook
Gainesville, GA 30501-7443
Phone
(770) 297-0356
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003457 GA Primary

Addresses

Primary practice location

2335 Limestone Overlook
Gainesville, GA 30501-7443

Mailing address

3525 Piedmont Rd NE
#7-601
Atlanta, GA 30305-1578
Phone (404) 842-5425

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000663 GA Practitioner - Physician Assistant 5799756078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lanier Interventional Pain Center, LLCGroup PAC ID 9436129962, 2 clinicians

Practice addresses (Care Compare)

2335 Limestone Overlook
Gainesville, GA 30501-7443
Phone (770) 297-0356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3457GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Interventional Pain Center, LLC CurrentSince Dec 23, 2012 Accepting new patients
Sports Medicine Associates of South Florida, P.a. Physician Assistant PastSince Jul 1, 1998 Accepting new patients

Locations

2335 Limestone Overlook
Gainesville, GA 30501
Phone (770) 297-0356

Interoperability endpoints

  • Direct secure messaging: lanierinterventionalpaincenter.mathewdovie@149901.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1740217017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE",
            "address_2": "#7-601",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "404-842-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 LIMESTONE OVERLOOK",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017443",
            "telephone_number": "770-297-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVIE",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.