Active NPI
Cherlyn Mitzi Matthews, NP-C
- Family Nurse Practitioner
- Macon, GA
National Provider Identifier
1871634113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN118570
- Practice address
- 400 Poplar St
Macon, GA 31201-3336 - Phone
- (478) 787-4266
- Fax
- (478) 787-4199
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN118570 | GA | Primary |
Addresses
Primary practice location
400 Poplar St
Macon, GA 31201-3336
Mailing address
250 Martin Luther King Jr Blvd
Macon, GA 31201-3490
Phone (478) 301-2362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN118570 | Other | GA | APRN LICENSE NUMBER |
Other names 1
- Mitzi Matthews
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN118570 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corporation of Mercer University | Current | Accepting new patients | |
| The Corporation of Mercer University | Current | Accepting new patients | |
| First Choice Primary Care, Inc. | Past | Accepting new patients | |
| Senior Psych Solutions Corp | Past | Accepting new patients | |
| First Choice Primary Care, Inc. | Past | Accepting new patients | |
| Cornerstone Medical Assoc., LLC | Past | Accepting new patients |
Locations
250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362
1550 College St
Macon, GA 31207
Phone (478) 301-2600
Interoperability endpoints
- georgiabehavioralhealthprofessionals.cherlynmatthews@124220.advancedmd-direct.com
- https://api.platform.athenahealth.com/25178/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Macon, GA
- NPI 1174693162
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1841171998
-
- Pediatrics Physician
- Perry, GA
- NPI 1275575888
-
- Federally Qualified Health Center (FQHC)
- Macon, GA
- NPI 1023492162
-
- Federally Qualified Health Center (FQHC)
- Warner Robins, GA
- NPI 1154747590
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1225078629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1871634113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MARTIN LUTHER KING JR BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312013490",
"telephone_number": "478-301-2362",
"fax_number": "478-301-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 POPLAR ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013336",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "CHERLYN",
"middle_name": "MITZI",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN118570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE NUMBER",
"identifier": "RN118570",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MITZI",
"last_name": "MATTHEWS",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.