Individual provider Active NPI

Christopher Wayne Mattern, MD

  • Neuroradiology Physician
  • Greensboro, NC
National Provider Identifier
1780669242
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
200200735 Issued in NC
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(336) 274-6682
Fax
(336) 274-8097
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 200200735 NC Primary
Diagnostic Radiology Physician 2085R0202X 200200735 NC

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

PO Box 85378
Chicago, IL 60689-5378
Phone (336) 274-6682

Other identifiers 6

IdentifierTypeStateIssuer
1313UOtherNCBCBS
16-02367OtherNCUNITED HEALTHCARE
E2505OtherNCMEDCOST
891313UMedicaidNC
P00304569OtherNCMEDICARE RAILROAD
1780669242MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, HI, VA, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050517000647 NC Practitioner - Diagnostic Radiology 3678514957 Reassigns benefits to 5 organizations
I20180108001309 HI Practitioner - Diagnostic Radiology 3678514957 Reassigns benefits to 2 organizations
I20200929002244 VA Practitioner - Diagnostic Radiology 3678514957 Reassigns benefits to 1 organization
I20200930000773 DC Practitioner - Diagnostic Radiology 3678514957

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mayo Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Diagnostic Radiology and Imaging LLCGroup PAC ID 4183517097, 87 clinicians

Practice addresses (Care Compare)

1585 Kapiolani Blvd
Suite 1720
Honolulu, HI 96814-4528
Phone (336) 274-6682

315 Pisgah Church Rd
Apt 3E
Greensboro, NC 27455-2793
Phone (336) 880-3272

315 W Wendover Ave
Greensboro, NC 27408-8401
Phone (336) 433-5000

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 1, 2009 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Diagnostic Radiology & Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2003 Accepting new patients
Imrad of Virginia PLLC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 1, 2009 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Southeastern Orthopaedic Specialists, PA CurrentSince Jan 1, 2016 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 20, 2025 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

1585 Kapiolani Blvd
Ste 1720
Honolulu, HI 96814

1357 Kapiolani Blvd
Honolulu, HI 96814
Phone (614) 221-7773

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

1130 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 375-2300

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

315 W Wendover Ave
Greensboro, NC 27408
Phone (336) 273-0530

1317 N Elm St
Ste 1B
Greensboro, NC 27401
Phone (336) 274-4285

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

5055 Seminary Rd
Ste 104
Alexandria, VA 22311
Phone (703) 820-8295

8986 Lorton Station Blvd
Lorton, VA 22079
Phone (703) 820-8320

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

Organizations & group practices 12

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 2

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1780669242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85378",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895378",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-6682",
            "fax_number": "336-274-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "200200735",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200200735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1313U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "16-02367",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E2505",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891313U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00304569",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780669242",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.