Individual provider Active NPI

Matthew White Nottingham, MD

  • Emergency Medicine Physician
  • Stockton, CA
National Provider Identifier
1962993964
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101271970 Issued in VA
Practice address
1800 N California St
Stockton, CA 95204-6019
Phone
(757) 675-9292
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101271970 VA Primary

Addresses

Primary practice location

1800 N California St
Stockton, CA 95204-6019

Mailing address

25001 Rivers Way
Barhamsville, VA 23011-2259
Phone (757) 675-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL, LA, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210803000912 VA Practitioner - Emergency Medicine 6507260205 Reassigns benefits to 3 organizations
I20260121000500 AL Practitioner - Emergency Medicine 6507260205 Reassigns benefits to 2 organizations
I20260309003485 LA Practitioner - Emergency Medicine 6507260205 Reassigns benefits to 2 organizations
I20260409001858 KS Practitioner - Emergency Medicine 6507260205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva County Healthcare Authority IncGroup PAC ID 0244222487, 23 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

1200 W Maple Ave
Geneva, AL 36340-1642
Phone (334) 684-3655

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Medicine Management -- Lake Charles LLC Emergency Medicine CurrentSince Jan 31, 2026 Accepting new patients
Geneva County Healthcare Authority, Inc. Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Geneva County Healthcare Authority, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Sycamore Lakeland LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 27, 2021 Accepting new patients

Locations

1200 W Maple Ave
Geneva, AL 36340
Phone (334) 684-3655

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: mnottingham5370612@direct.casso.us.com

Organizations & group practices 9

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 6

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1962993964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 RIVERS WAY",
            "city": "BARHAMSVILLE",
            "state": "VA",
            "postal_code": "230112259",
            "telephone_number": "757-675-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "757-675-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTINGHAM",
        "first_name": "MATTHEW",
        "middle_name": "WHITE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101271970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.