Individual provider Active NPI

Matthew George Sartorio, PA

  • Medical Physician Assistant
  • Lawrenceville, GA
National Provider Identifier
1881832178
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1844 Issued in GA
Practice address
771 Old Norcross Rd
Suites 155 and 390
Lawrenceville, GA 30046
Phone
(678) 957-0757
NPI assigned
Jan 26, 2009
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1844 GA Primary

Addresses

Primary practice location

771 Old Norcross Rd
Suites 155 and 390
Lawrenceville, GA 30046

Mailing address

900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (678) 996-7230

Other practice location 1

5670 Peachtree Dunwoody Rd NE
Ste 990
Atlanta, GA 30342-1699
Phone (404) 256-2633

Other practice location 2

105 Collier Rd NW Ste 2000
Atlanta, GA 30309-1734
Phone (404) 352-1053

Other practice location 3

1800 Howell Mill Rd NW Ste 200
Atlanta, GA 30318-0917
Phone (404) 352-1015

Other identifiers 1

IdentifierTypeStateIssuer
5521OtherGALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000129 GA Practitioner - Physician Assistant 4486710126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd NW
Suite 200
Atlanta, GA 30318-0917
Phone (404) 352-1015

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 352-1053

3929 Peachtree Rd NE
Suite 250
Brookhaven, GA 30319-3374
Phone (404) 352-1053

620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812

771 Old Norcross Rd
Suite 155
Lawrenceville, GA 30046-4979
Phone (678) 957-0757

771 Old Norcross Rd
Suite 390
Lawrenceville, GA 30046-4324
Phone (678) 957-0757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1844GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC CurrentSince Oct 1, 2019 Accepting new patients
Orthoatlanta, LLC CurrentSince Oct 1, 2019 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients

Locations

105 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 350-1122

1800 Howell Mill Rd NW
Ste 200
Atlanta, GA 30318
Phone (404) 352-1015

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

3929 Peachtree Rd NE
Ste 250
Brookhaven, GA 30319
Phone (404) 352-1053

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

771 Old Norcross Rd
Ste 155
Lawrenceville, GA 30046
Phone (678) 957-0757

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

Organizations & group practices 5

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.

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1881832178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393087",
            "telephone_number": "678-996-7230",
            "fax_number": "770-953-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITES 155 AND 390",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-957-0757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5670 Peachtree Dunwoody Rd NE",
            "address_2": "Ste 990",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421699",
            "country_code": "US",
            "telephone_number": "404-256-2633",
            "fax_number": "404-255-6532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Collier Rd NW Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091734",
            "country_code": "US",
            "telephone_number": "404-352-1053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Howell Mill Rd NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303180917",
            "country_code": "US",
            "telephone_number": "404-352-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTORIO",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5521",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.