John Mark Matthews, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11053 Issued in MS

Practice address

845 S Madison St
Tupelo, MS 38801-4905

Phone

(662) 377-5930

Fax

(662) 377-5085

NPI assigned

Mar 17, 2006

Last updated

Apr 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment NPD
• North Mississippi Medical Center Services LLC

  dba NMMC EKG Interpretations

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1013202886
  Medicare reassignment NPD
• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center Services LLC

  dba Ortho Trauma Services Clinic

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1790067932
  NPD
• North Mississippi Medical Center Services LLC

  dba Ortho Trauma Services Clinic 2

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1982949046
  NPD
• North Mississippi Medical Center, Inc.

  dba North Mississippi Neurosurgical Services

  • Neurological Surgery Physician
  • Tupelo, MS
  • NPI 1013385715

  Internal Medicine

  NPD
• Cogent Healthcare of Mississippi, Inc

  • Hospitalist Physician
  • Tupelo, MS
  • NPI 1578870168

  Internal Medicine

  NPD (past)
• North Mississippi Medical Center Inc.

  dba Medical Center Hospitalists

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1609243351
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1891754057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-5930",
            "fax_number": "662-377-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-5930",
            "fax_number": "662-377-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "11053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115013",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Masur III, PHD
• Dan Robbins Mathews Jr., D.C
• Mathis Dental, LLC
• John Mathis, DMD
• Taylor Phillips Mathis, MD
• Kimberly M Matthews
• Rachel Corey Mauldin, NP
• Heather L Mauney, COTA
• Amanda Maxcy, LPN
• Janice Maxwell

• Internal Medicine Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.

Verify at the official NPI Registry.