Individual provider Active NPI

Matthew Douglas Marstin, DO

  • Obstetrics & Gynecology Physician
  • Athens, TN
National Provider Identifier
1962027201
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5716 Issued in TN
Practice address
1005 W Madison Ave
Athens, TN 37303-3433
Phone
(423) 507-8067
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5716 TN Primary

Addresses

Primary practice location

1005 W Madison Ave
Athens, TN 37303-3433

Mailing address

1005 W Madison Ave
Athens, TN 37303-3433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029002154 TN Practitioner - Obstetrics/Gynecology 7214350255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Liberty Univ College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecircle Womens Health Care PCGroup PAC ID 9931167707, 7 clinicians

Practice addresses (Care Compare)

135 N Meadows Dr
Suite B
Athens, TN 37303-4172
Phone (423) 507-8067

Hospital & facility affiliations

  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecircle Womens Health Care PC CurrentSince Oct 10, 2024 Accepting new patients
Lifecircle Womens Health Care PC CurrentSince Oct 10, 2024 Accepting new patients

Locations

1005 W Madison Ave
Athens, TN 37303
Phone (423) 507-8067

135 N Meadows Dr
Ste B
Athens, TN 37303
Phone (423) 507-8067

2301 N Ocoee St
Ste A
Cleveland, TN 37311
Phone (423) 322-6399

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1962027201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033433",
            "telephone_number": "423-507-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTIN",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.