Individual provider Active NPI

Arthur M Matthews Jr., MD

  • Urology Physician
  • Gulfport, MS
National Provider Identifier
1760417612
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
07141 Issued in MS
Practice address
15190 Community Rd
Suite 370
Gulfport, MS 39503-3485
Phone
(228) 831-9699
Fax
(882) 831-3908
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD.8123 AL
Urology Physician 208800000X MD.011742 LA
Urology Physician 208800000X 07141 MS Primary

Addresses

Primary practice location

15190 Community Rd
Suite 370
Gulfport, MS 39503-3485

Mailing address

15190 Community Rd
Suite 370
Gulfport, MS 39503-3485
Phone (228) 831-9699

Other identifiers 1

IdentifierTypeStateIssuer
00017429MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060317000381 MS Practitioner - Urology 0749297638 Reassigns benefits to 1 organization
Practice locations: Gulfport, MS
I20121026000157 LA Practitioner - Urology 0749297638 Reassigns benefits to 1 organization
I20160328000563 AL Practitioner - Urology 0749297638 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.8123ALMDUrology Physician
MD.011742LAMDUrology Physician
07141MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Mar 1, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 12, 2012 Accepting new patients
Wiregrass Clinic LLC Urology CurrentSince Mar 1, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 12, 2012 Accepting new patients
Urology Associates of Mobile, P.a. Urology CurrentSince Apr 1, 2023 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients

Locations

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

3290 Dauphin St
Mobile, AL 36606
Phone (251) 435-7460

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#42
New Orleans, LA 70112
Phone (504) 988-2750

15190 Community Rd
Ste 300
Gulfport, MS 39503
Phone (228) 819-8586

15190 Community Rd
Ste 370
Gulfport, MS 39503
Phone (228) 831-9699

1153 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 819-8586

Interoperability endpoints

  • Direct secure messaging: arthurmatthews@uam.allscriptsdirect.net
  • Direct secure messaging: amatthews@direct.mhg.com

Organizations & group practices 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1760417612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 370",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-831-9699",
            "fax_number": "882-831-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 370",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-831-9699",
            "fax_number": "882-831-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ARTHUR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "MD.8123",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "MD.011742",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "07141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017429",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.