Amanda Ethredge Matthews, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME114304 Issued in FL

Practice address

2535 Capital Medical Blvd
Tallahassee, FL 32308-4624

Phone

(850) 877-7337

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

Medical College of Georgia School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes at Centerville Park LLCGroup PAC ID 7315040961, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.matthews.p2@direct.eyeassociates.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: am@palmereyecenter.direct.eyemdemr.com

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.

• Eyes at Centerville Park LLC

  dba Palmer Eye Center

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1124125406
  Medicare reassignment Care Compare group NPD
• Advanced Surgery Center of Tallahassee, LLC

  • Anesthesiology Physician
  • Tallahassee, FL
  • NPI 1578415691
  Medicare reassignment NPD
• Seven Hills Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tallahassee, FL
  • NPI 1790736502
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1982866638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084624",
            "telephone_number": "850-877-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084624",
            "telephone_number": "850-877-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Fleischmann Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084599",
            "country_code": "US",
            "telephone_number": "850-552-0608",
            "fax_number": "850-552-0925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "AMANDA",
        "middle_name": "ETHREDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME114304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012490400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021073900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Reed Mathis, DC
• Charlene A Mathlin-Sully, SSP, NCSP
• Neila Mathurin
• Daniel Ricardo Matta, M.D.
• Kira Anne Matteson Rosen, LMT
• Julia C Matthias, OTR/L
• Theresa Mattison, MS
• Natalie Diane Mattson
• Ashley Heath Matyjaszek, APRN
• Jeremy Denis Matyjaszek

• Ophthalmology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.