Individual provider Active NPI

Matthew Good, PA-C

  • Medical Physician Assistant
  • Richmond Hill, GA
National Provider Identifier
1942865290
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11989 Issued in GA
Practice address
13314 Highway 144 Ste C
Richmond Hill, GA 31324-7388
Phone
(129) 102-0109
NPI assigned
May 2, 2019
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060652 PA
Medical Physician Assistant 363AM0700X MA060652 PA
Medical Physician Assistant 363AM0700X 11989 GA Primary

Addresses

Primary practice location

13314 Highway 144 Ste C
Richmond Hill, GA 31324-7388

Mailing address

550 Longleaf Dr
Richmond Hill, GA 31324-6815
Phone (610) 301-8206

Other practice location 1

1015 W Baltimore Pike
West Grove, PA 19390-9459
Phone (610) 869-1000

Other practice location 2

1600 E High St
Pottstown, PA 19464-5008
Phone (610) 327-7000

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
I20231120003067 GA Practitioner - Physician Assistant 0345575908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Saint Josephs Candler Dr
Suite 100
Pooler, GA 31322-9587
Phone (912) 737-2250

13314 Hwy 144
Suite C
Richmond Hill, GA 31324-7388
Phone (912) 910-2010

3866 Belfast Keller Rd
Suite 104
Richmond Hill, GA 31324-6863
Phone (912) 910-2720

780 E Oglethorpe Hwy
Hinesville, GA 31313-2808
Phone (912) 385-0801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA060652PAMDPhysician Assistant
11989GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Emergency Physicians LLC CurrentSince Jun 27, 2019 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Nov 9, 2023 Accepting new patients
St. Joseph Regional Health Network Past Accepting new patients

Locations

64 Oracal Pkwy
Bldg 1
Ellabell, GA 31308
Phone (912) 214-7920

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

13314 Highway 144
Ste C
Richmond Hill, GA 31324
Phone (912) 910-2010

5621 Highway 21 S
Rincon, GA 31326
Phone (912) 295-5860

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1942865290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LONGLEAF DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246815",
            "telephone_number": "610-301-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13314 HIGHWAY 144 STE C",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247388",
            "telephone_number": "129-102-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909459",
            "country_code": "US",
            "telephone_number": "610-869-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 E High St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645008",
            "country_code": "US",
            "telephone_number": "610-327-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060652",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060652",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.