Matthew Wayne Collier, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006483 Issued in GA

Practice address

3100 Tradition Cir
Mount Pleasant, SC 29466-7200

Phone

(843) 654-7945

Fax

(843) 884-6481

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Galen Medical Group, PC

  • Internal Medicine Physician
  • Hixson, TN
  • NPI 1346250057
  NPD (past)
• John W. Looper Jr. Speech & Hearing Clinic

  • Speech-Language Pathologist
  • Dalton, GA
  • NPI 1720098536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1851408652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202506",
            "telephone_number": "706-226-4623",
            "fax_number": "706-278-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TRADITION CIR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667200",
            "telephone_number": "843-654-7945",
            "fax_number": "843-884-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "006483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353538198A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Coleman
• Margaret Deberry Coleman, P.T.
• Meredith Norwood Colhoun, OTD, OTR/L
• Collective Conscious Counseling, LLC
• Collective Medical, LLC
• Emma Louise Collins
• Jordan Katibeth Collins, OTR/L
• Linda Collins, MA CCC/SLP
• Joseph Austin Colopy, D.C.
• Colorectal Surgery Clinic, LLC

• All providers in Mount Pleasant, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.