Individual provider Active NPI

Matthew George Knebel, NP-C

  • Family Nurse Practitioner
  • Bethlehem, GA
National Provider Identifier
1811666803
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN265848 Issued in GA
Practice address
340 Exchange Blvd Ste 120
Bethlehem, GA 30620-1759
Phone
(678) 963-7300
NPI assigned
Sep 13, 2021
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN265848 GA Primary

Addresses

Primary practice location

340 Exchange Blvd Ste 120
Bethlehem, GA 30620-1759

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (706) 614-8495

Other practice location 1

1685 Old Pendergrass Rd
Jefferson, GA 30549-2705
Phone (706) 387-7637

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922000459 GA Practitioner - Nurse Practitioner 0143627984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians

Practice addresses (Care Compare)

340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (678) 963-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Feb 27, 2023 Accepting new patients
TLC of Georgia LLC Family CurrentSince Sep 14, 2021 Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

340 Exchange Blvd
#120
Bethlehem, GA 30620
Phone (678) 963-7300

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

1685 Old Pendergrass Rd
Jefferson, GA 30549
Phone (706) 387-7620

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: matthew.knebel@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1811666803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "706-614-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EXCHANGE BLVD STE 120",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201759",
            "telephone_number": "678-963-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1685 Old Pendergrass Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "305492705",
            "country_code": "US",
            "telephone_number": "706-387-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNEBEL",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN265848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, GA

Sources for this page

Verify at the official NPI Registry.