Matthew William Kavolus, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

NA Issued in GA

Practice address

303 Parkway Dr NE # 4-West
Atlanta, GA 30312-1239

Phone

(404) 265-1579

NPI assigned

Mar 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1760131874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE # 4-WEST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121239",
            "telephone_number": "404-265-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE # 4-WEST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121239",
            "telephone_number": "404-265-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVOLUS",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Kauten, MD
• Carmen M Kavali, MD
• Kavey Cares Solutions LLC
• Kavi Opticals
• Lis Kavjian
• Anita Kaw
• Kaveeta Kaw, MD PHD
• Kento Kawai
• Russell Kawakami, LPC
• Caitlin Susannah Kawamura, RD, LD

• Orthopaedic Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.