My Matrix, Incorporated

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MY MATRIX, INCORPORATED

Practice address

2640 Martin Luther King Jr Dr SW
Atlanta, GA 30311-6101

Phone

(770) 407-9288

NPI assigned

Aug 23, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Felicia Moses

Title

Peer Specialist

Phone

(770) 407-9288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408752000000",
    "number": "1992105258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20287",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303250287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303116101",
            "telephone_number": "770-407-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MATRIX, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-23",
        "last_updated": "2014-08-23",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "PEER SPECIALIST",
        "authorized_official_telephone_number": "770-407-9288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; 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.