Individual provider Active NPI

Michael Fulton Matheney, MD

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1881181246
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60566 Issued in TN
Practice address
4220 Harding Pike Ste 500
Nashville, TN 37205-2005
Phone
(615) 222-2111
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60566 TN Primary

Addresses

Primary practice location

4220 Harding Pike Ste 500
Nashville, TN 37205-2005

Mailing address

110 Irving St NW
Washington, DC 20010-3017

Other practice location 1

2000 Church St
Nashville, TN 37236-3017
Phone (615) 284-5555

Other practice location 2

110 Irving St NW Ste C-2151
Washington, DC 20010-3017
Phone (304) 552-9915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913000131 TN Practitioner - Internal Medicine 6800271859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warner Physician Services PCGroup PAC ID 0345602801, 50 clinicians

Practice addresses (Care Compare)

2000 Church St
Nashville, TN 37236-0002
Phone (615) 284-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60566TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Sep 5, 2022 Accepting new patients
Beaman Physician Services, PC CurrentSince Aug 28, 2023 Accepting new patients
Warner Physician Services PC CurrentSince Aug 17, 2023 Accepting new patients

Locations

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

4220 Harding Pike
Ste 500
Nashville, TN 37205
Phone (615) 222-2111

300 20th Ave N
Fl 9
Nashville, TN 37203

Organizations & group practices 3

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 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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1881181246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005",
            "telephone_number": "615-222-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Church St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372363017",
            "country_code": "US",
            "telephone_number": "615-284-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Irving St NW Ste C-2151",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "304-552-9915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHENEY",
        "first_name": "MICHAEL",
        "middle_name": "FULTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-09-02",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "60566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.