GREGORY J. MATECHAK (NPI# 1851492672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851492672 |
Entity Type | Individual |
Full Name | GREGORY J. MATECHAK |
Credential | M.D. |
Practice Address |
1650 Chattahoochee Dr Rockmart GA 30153-2023 |
Mailing Address |
420 E 2nd Ave Suite 103 Rome GA 30161-3209 |
Practice Telephone | 7706846100 |
Practice Fax Number | 7706847522 |
Mailing Telephone | 7065093278 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2015-08-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 52992 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 305711364R | 05 |
Street Address |
1650 CHATTAHOOCHEE DR |
City | ROCKMART |
State | GA |
Zip Code | 30153-2023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588191902 | Nicholas Von Der Ahe | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | 2017-05-16 |
1972036655 | Nancy Martinez | Nurse Practitioner | 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | 2017-04-10 |
1164876272 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | 2016-04-15 |
1780063339 | Emma Atherton-staples | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153 | 2015-05-28 |
1376700989 | Leia M Dawson | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | 2008-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457829566 | Mandy Richardson | Speech-Language Pathologist | 140 Rhinehart Dr, Rockmart, GA 30153 | 2018-11-06 |
1225550619 | Lamaria Michelle Green | Case Manager/Care Coordinator | 52 Prometheous Way, Rockmart, GA 30153 | 2017-07-07 |
1508164070 | Julie Moss Carlton | Pharmacist | 802 Nathan Dean Bypass, Rockmart, GA 30153 | 2011-03-08 |
1437454667 | At Peace Hospice Care, LLC | Hospice Care, Community Based | 1101 N Piedmont Ave, Suite C, Rockmart, GA 30153 | 2011-01-19 |
1699077701 | Trulife Chiropractic and Wellness Center, LLC | Clinic/Center | 126 N. Piedmont Ave, Rockmart, GA 30153 | 2010-11-22 |
1891879995 | Smith-lockwood, Inc. | Pharmacy | 114 S Marble Street, Rockm, Rockmart, GA 30153 | 2006-10-25 |
1427574698 | Franklin Reeves | Pharmacist | 802 Nathan Dean Bypass, Rockmart, GA 30153 | 2017-08-18 |
1396295788 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 479 Nathan Dean Byp, Rockmart, GA 30153-1650 | 2016-10-10 |
1255712063 | Nursetrek Inc | Home Health | 826 W Elm St, #c, Rockmart, GA 30153-1727 | 2015-06-17 |
1679688220 | Umpon Sangmalee | Family Medicine | 826 C West Elm St, Rockmart, GA 30153-1727 | 2006-08-21 |
Find all providers in zip 30153 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679688220 | Umpon Sangmalee | Family Medicine | 826 C West Elm St, Rockmart, GA 30153-1727 | 2006-08-21 |
1811913551 | Robert S. Strickland | Family Medicine | 1008 N Piedmont Ave, Rockmart, GA 30153-2526 | 2006-07-14 |
1427047810 | Redmond Physician Practice Company | Family Medicine | 2293 Rome Hwy, Rockmart, GA 30153-3577 | 2005-10-18 |
1588191902 | Nicholas Von Der Ahe | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | 2017-05-16 |
1780063339 | Emma Atherton-staples | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153 | 2015-05-28 |
1376700989 | Leia M Dawson | Family Medicine | 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | 2008-05-21 |
1568480226 | Mary F. Dailey-smith | Family Medicine | 1008 N Piedmont Ave, Rockmart, GA 30153-2526 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.