Active NPI
Jared Lee Matthews, M.D.
- Addiction Medicine (Preventive Medicine) Physician
- Memphis, TN
National Provider Identifier
1922366459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 59609
- Practice address
- 6401 Poplar Ave Ste 500
Memphis, TN 38119-4808 - Phone
- (901) 746-9438
- NPI assigned
- May 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME128219 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 59609 | TN | Primary |
Addresses
Primary practice location
6401 Poplar Ave Ste 500
Memphis, TN 38119-4808
Mailing address
6401 Poplar Ave Ste 500
Memphis, TN 38119-4808
Phone (901) 746-9438
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 |
|---|---|---|---|
| ME128219 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1346317039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1922366459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 POPLAR AVE STE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194808",
"telephone_number": "901-746-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 POPLAR AVE STE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194808",
"telephone_number": "901-746-9438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "JARED",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME128219",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "TN",
"license": "59609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.