Shawn Bell Mathews
WELLSTAR MEDICAL GROUP, LLC


Address: 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130
Phone: 7068807222

Shawn Bell Mathews (NPI# 1043341043, PAC ID# 3779674254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1043341043
PAC ID by PECOS 3779674254
Professional Enrollment ID I20180802000894
Full Name Shawn Bell Mathews
Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Address 300 Medical Dr
Suite 705
Lagrange
GA 30240-4130
Phone Number 7068807222
Gender M
Graduation Year 1992
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 6709065402
Number of Group Practice Members 1320
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110016 WEST GEORGIA MEDICAL CENTER, INC

Other Locations

Address Phone Organization
300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 7068807222 WELLSTAR MEDICAL GROUP, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Physicians 1338

Physicians with the same organization

Name Specialty Organization Address
Phong Hoang Do Family Medicine Wellstar Medical Group, LLC 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742
Francheska Desravines Alcide Family Medicine Wellstar Medical Group, LLC 687 Marietta Hwy, Canton, GA 30114-2608
Marcus J Gates Neurosurgery Wellstar Medical Group, LLC 625 Church Nest, Marietta, GA 30060-1101
Nimota A Adeboye Nurse Practitioner Wellstar Medical Group, LLC 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511
Vanessa Jill Lancaster Nurse Practitioner Wellstar Medical Group, LLC 1360 Upper Hembree Rd, Roswell, GA 30076-1230
Janna Williams-pitts Psychologist, Clinical Wellstar Medical Group, LLC 3805 Cherokee Nwst, Kennesaw, GA 30144-2085
Abhishek Kumar Singh Family Medicine Wellstar Medical Group, LLC 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959
Khuram Ashraf Internal Medicine Wellstar Medical Group, LLC 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280
Jonathan Noel Dodd Psychologist, Clinical Wellstar Medical Group, LLC 3939 Roswell Rd, Marietta, GA 30062-6285
Matthew Charles Agan Neurology Wellstar Medical Group, LLC 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298

Office Location

Street Address 300 MEDICAL DR
SUITE 705
City LAGRANGE
State GA
Zip 30240-4130

Physicians in the same location

Name Specialty Organization Address
Ravina Kadam Internal Medicine Wellstar Medical Group, LLC 300 Medical Dr, Lagrange, GA 30240-4130
Peter P Lee Neurology 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130
Francye Largeman Qualified Audiologist Wellstar Medical Group, LLC 300 Medical Dr, Lagrange, GA 30240-4130
Anil R Modi Internal Medicine 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130
Julie Anne Farr Nurse Practitioner Wellstar Medical Group, LLC 300 Medical Dr, Lagrange, GA 30240-4130
John Michael Allen General Surgery Wellstar Medical Group, LLC 300 Medical Dr, Suite 707, Lagrange, GA 30240-4130
James K Jones Otolaryngology Wellstar Medical Group, LLC 300 Medical Dr, Lagrange, GA 30240-4130
Hope O Zachman Physician Assistant Wellstar Medical Group, LLC 300 Medical Dr, Lagrange, GA 30240-4130

Physicians in the same zip code

Name Specialty Organization Address
Swaroop N Nyshadham General Practice 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404
James B Brown Optometry 803 New Franklin Rd, Lagrange, GA 30240-1843
Stephan M Langston Chiropractic 403 Ridley Ave, Lagrange, GA 30240-2231
Shannon K Dunlap Psychologist, Clinical 610 Ridley Ave, Lagrange, GA 30240-2236
Ashley Miller Nurse Practitioner Georgia Pain and Spine Care, Inc 303 Smith St, Fl 2, Lagrange, GA 30240-2745
Kent Remley Interventional Radiology Georgia Pain and Spine Care, Inc 303 Smith St, Fl 2, Lagrange, GA 30240-2745
Jerry M Overall Optometry 208 Smith St, Lagrange, GA 30240-2755
Margaret Darden Brown Clinical Social Worker 100 Smith St, Suite 1, Lagrange, GA 30240-2780
James R Aspinwall Chiropractic Aspinwall Chiropractic Clinic, L.L.C. 302 S Greenwood St, Lagrange, GA 30240-3122
David P Dresselhaus Chiropractic Aspinwall Chiropractic Clinic, L.L.C. 302 S Greenwood St, Lagrange, GA 30240-3122
Find all physicians in zip 30240

Competitor

Search similar physicians

City LAGRANGE
Zip Code 30240
Specialty OTOLARYNGOLOGY
City + Specialty LAGRANGE + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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