NPIMap

Individual provider Active NPI

Gregory J. Matechak, M.D.

  • Family Medicine Physician
  • Rockmart, GA
National Provider Identifier
1851492672
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52992 Issued in GA
Practice address
1650 Chattahoochee Dr
Rockmart, GA 30153-2023
Phone
(770) 684-6100
Fax
(770) 684-7522
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52992 GA Primary

Addresses

Primary practice location

1650 Chattahoochee Dr
Rockmart, GA 30153-2023

Mailing address

420 E 2ND Ave
Suite 103
Rome, GA 30161-3209
Phone (706) 509-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000130 GA Practitioner - Family Practice 2769456946 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

1600 Kennesaw Due W Rd NW
Kennesaw, GA 30152-4305
Phone (770) 422-5880

3295 S Cobb Dr SE
Smyrna, GA 30080-4175
Phone (678) 723-6671

Hospital & facility affiliations

  • Wellstar Home Health, LLC Home health agency, Marietta, GA, CCN 117102
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52992GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennesaw Mountain Medical Group CurrentSince Sep 21, 2009 Accepting new patients
Bold Legacy Practice, LLC CurrentSince Oct 1, 2023 Accepting new patients
Bold Primary LLC Family Medicine CurrentSince Apr 13, 2024 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jun 15, 2022 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1600 Kennesaw Due West Rd NW
Ste 625
Kennesaw, GA 30152
Phone (770) 422-5880

1600 Kennesaw Due West Rd NW
Ste 620
Kennesaw, GA 30152
Phone (770) 422-5880

1401 Johnson Ferry Rd
Ste 390
Marietta, GA 30062
Phone (470) 250-1492

1401 Johnson Ferry Rd
Ste 390B
Marietta, GA 30062
Phone (470) 250-1492

3885 Mundy Mill Rd
Ste 114
Oakwood, GA 30566
Phone (678) 971-1892

3295 S Cobb Dr SE
Smyrna, GA 30080
Phone (678) 723-6671

Interoperability endpoints

  • Direct secure messaging: gregory.matechak.1@1975.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1975/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1851492672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613209",
            "telephone_number": "706-509-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHATTAHOOCHEE DR",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301532023",
            "telephone_number": "770-684-6100",
            "fax_number": "770-684-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATECHAK",
        "first_name": "GREGORY",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "52992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockmart, GA

Sources for this page

Verify at the official NPI Registry.