Individual provider Active NPI

Dana Williams Matte, NP

  • Hospitalist Physician
  • Brookhaven, MS
National Provider Identifier
1760426936
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
R785369 Issued in MS
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

Updated by the provider on May 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00122352MedicaidMS
R785369OtherMSMS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000833 MS Practitioner - Nurse Practitioner 4082651807 Reassigns benefits to 1 organization

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
Kings Daughters Medical CenterGroup PAC ID 3072575539, 75 clinicians

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 Hospital, Brookhaven, MS, CCN 250057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R785369MSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King'S Daughters Medical Center CurrentSince Oct 1, 2001 Accepting new patients
King'S Daughters Medical Center CurrentSince Oct 1, 2001 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.