T. Keith Matthews, D.O.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039632 Issued in GA

Legal business name

T. KEITH MATTHEWS, D.O.,P.C.

Practice address

56 Appalachian Ave
Blairsville, GA 30512-2271

Phone

(706) 781-3994

Fax

(706) 781-3997

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. T Keith Matthews, D.O.NPI 1427013739

Title

Owner

Phone

(706) 781-3994

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• T Keith Matthews, D.O.

  • Family Medicine Physician
  • Blairsville, GA
  • NPI 1427013739
  NPD (past) Authorized official

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1942561121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 APPALACHIAN AVE",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122271",
            "telephone_number": "706-781-3994",
            "fax_number": "706-781-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 APPALACHIAN AVE",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122271",
            "telephone_number": "706-781-3994",
            "fax_number": "706-781-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. KEITH MATTHEWS, D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-781-3994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "039632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00717142B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.