Active NPI
Jose Mathew, DO, MPH
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 66218
- Practice address
- 455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768 - Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- NPI assigned
- Jul 2, 2008
- Last updated
- Jan 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 66218 | GA | Primary |
Addresses
Primary practice location
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 Bald Ridge Marina Rd
Suite 150
Cumming, GA 30041-8526
Phone (770) 962-3642
1357 Hembree Rd
Suite 220
Roswell, GA 30076-5722
Phone (770) 962-3642
1504 N Thornton Ave
Suite 103
Dalton, GA 30720-8394
Phone (770) 962-3642
1780 Oak Rd
Suite A2
Snellville, GA 30078-2206
Phone (770) 962-3642
314 N Broad St
Suite 210
Winder, GA 30680-2163
Phone (770) 962-3642
455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
484 Irvin CT
Suite 110
Decatur, GA 30030-5406
Phone (770) 962-3642
526 Bankhead Hwy
Suite 101
Carrollton, GA 30117-2463
Phone (770) 962-3642
Hospital & facility affiliations
- Emory Hillandale Hospital
- Emory Decatur Hospital
- Northside Hospital
- Mercy Health St Ritas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.28 of 100
- Quality
- 75.54
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 55.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66218 | GA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Pain and Wellness Center | Current | Accepting new patients | |
| Georgia Pain and Wellness Center | Current | Accepting new patients | |
| Urology Centers of Alabama PC | Past | Accepting new patients | |
| Georgia Interventional Pain - D LLC | Past | Accepting new patients | |
| Sleep Ezzy | Past | Accepting new patients | |
| Minimally Invasive Neurospine and Pain Institute, P.C. | Past | Accepting new patients | |
| Minimally Invasive Neurospine and Pain Institute, PC | Past | Accepting new patients | |
| South Atlanta Neurosurgery | Past | Accepting new patients | |
| Georgia Pain and Wellness Center, LLC | Past | Accepting new patients |
Locations
1255 Friendship Rd
Ste 150
Braselton, GA 30517
100 Liberty Blvd
Ste 210
Canton, GA 30114
1501 Milstead Rd NE
Ste 190
Conyers, GA 30012
Phone (770) 760-9900
1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003
1504 N Thornton Ave
Ste 103
Dalton, GA 30720
Phone (706) 278-5275
484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057
1485 Jesse Jewell Pkwy NE
Ste 310
Gainesville, GA 30501
49 Gordon Rd
Jasper, GA 30143
Phone (678) 878-2555
455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889
7660 Covington Hwy
Lithonia, GA 30058
Phone (770) 482-2964
39 Oak Hill Ct
Ste 101
Newnan, GA 30265
39C Oak Hill Ct
Ste 101
Newnan, GA 30265
146 Smitherman Rd
Ringgold, GA 30736
Phone (423) 667-3225
1357 Hembree Rd
Ste 220
Roswell, GA 30076
1780 Oak Rd
Ste A2
Snellville, GA 30078
Phone (678) 344-0050
830 Eagles Landing Pkwy
Ste 204
Stockbridge, GA 30281
314 N Broad St
Ste 210
Winder, GA 30680
Phone (770) 267-1159
203 Woodpark Pl
Ste B102
Woodstock, GA 30188
Phone (770) 926-0021
Organizations & group practices 9
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.
-
dba Summit Spine and Joint Centers
- Interventional Pain Medicine Physician
- Lawrenceville, GA
- NPI 1356781181
-
dba Summit Spine & Joint Centers
- Interventional Pain Medicine Physician
- Newnan, GA
- NPI 1427820190
-
- Ambulatory Surgical Clinic/Center
- Decatur, GA
- NPI 1043660442
-
dba Summit Spine & Joint Centers
- Interventional Pain Medicine Physician
- Decatur, GA
- NPI 1689186199
-
dba AllSpine Surgery Center, P.C.
- Ambulatory Surgical Clinic/Center
- Stockbridge, GA
- NPI 1215204128
-
dba AllSpine Surgery center
- Ambulatory Surgical Clinic/Center
- Riverdale, GA
- NPI 1255607628
-
- Pain Medicine (Anesthesiology) Physician
- Lawrenceville, GA
- NPI 1154852820
-
- Specialist
- Stockbridge, GA
- NPI 1366621237
-
dba UCA Specialty Pharmacy
- Community/Retail Pharmacy
- Homewood, AL
- NPI 1023861796
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
dba Dekalb Medical Center at Hillandale
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Inpatient Psych Unit
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
dba Mercy Health-St Rita's Medical Center
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1861654659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "DO, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "66218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.