Active NPI
Charles Matthews, M.D.
- Neurology Physician
- Raleigh, NC
National Provider Identifier
1891866885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0027245
- Practice address
- 2501 Atrium Dr
Suite 400
Raleigh, NC 27607-6452 - Phone
- (919) 781-7423
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0027245 | NC | Primary |
Addresses
Primary practice location
2501 Atrium Dr
Suite 400
Raleigh, NC 27607-6452
Mailing address
904 Vance St
Raleigh, NC 27608-2348
Phone (919) 649-6806
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7117 | Other | NC | MEDCOST |
| 0555719 | Other | NC | UNITED HEALTH CARE |
| 54818 | Other | NC | BCBS OF NC |
| 1435715 | Other | NC | CIGNA |
| 4403914 | Other | NC | AETNA |
| P80705 | Other | NC | GREAT WEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27245 | NC | MD | Pharmacist |
| 0027245 | NC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891866885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 VANCE ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276082348",
"telephone_number": "919-649-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 ATRIUM DR",
"address_2": "SUITE 400",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076452",
"telephone_number": "919-781-7423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "0027245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C7117",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0555719",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "54818",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1435715",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4403914",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "P80705",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.