Active NPI
Dana Williams Matte, NP
- Hospitalist Physician
- Brookhaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- R785369
- Practice address
- 427 Hwy 51 North
Brookhaven, MS 39601-2600 - Phone
- (601) 833-7831
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R785369 | MS | |
| Hospitalist Physician | 208M00000X | R785369 | MS | Primary |
Addresses
Primary practice location
427 Hwy 51 North
Brookhaven, MS 39601-2600
Mailing address
427 Highway 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122352 | Medicaid | MS | |
| R785369 | Other | MS | MS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
Hospital & facility affiliations
- King'S Daughters Medical Center-Brookhaven
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R785369 | MS | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King'S Daughters Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Kings Daughters Medical Center | Current | Accepting new patients |
Locations
950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
527 Silver Cross Dr
Brookhaven, MS 39601
Phone (601) 833-2222
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Brookhaven, MS
- NPI 1043245368
-
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1760426936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 HIGHWAY 51 N",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012350",
"telephone_number": "601-833-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 HWY 51 NORTH",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012600",
"telephone_number": "601-833-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTE",
"first_name": "DANA",
"middle_name": "WILLIAMS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "R785369",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "R785369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122352",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS LICENSE",
"identifier": "R785369",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.