MR. CHARLES DAVID MATTHEWS (NPI# 1376755900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376755900 |
| Entity Type | Individual |
| Full Name | MR. CHARLES DAVID MATTHEWS |
| Credential | M.S. |
| Practice Address |
2799 Lawrenceville Hwy Suite 107 Decatur GA 30033-2517 |
| Mailing Address |
755 Park Ln Decatur GA 30033-5454 |
| Practice Telephone | 7704145800 |
| Practice Fax Number | 7706219118 |
| Mailing Telephone | 4044442633 |
| Mailing Fax Number | 7706219118 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C0014 | GA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
3701 | NC | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC002022 | GA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 795 | NC | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFT000849 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275770646 | Charles Carter Matthews | Veterinarian | 619 Wentworth Ave, Calumet City, IL 60409-4222 | 2009-01-07 |
| 1265619670 | Charles Matthews | Counselor | 1603 E 10th St, Long Beach, CA 90813-5035 | 2008-01-28 |
| 1386776342 | Charles Matthews | Counselor | 9343 S Ridgeland Ave, Chicago, IL 60617-3637 | 2007-03-12 |
| 1851438725 | Charles W. Matthews | Internal Medicine | 4217 Del Monte Ave, Las Vegas, NV 89102-3875 | 2007-01-31 |
| 1356393714 | Charles Odell Matthews | Psychologist | 12909 N 56th St Ste 203, Tampa, FL 33617-1274 | 2006-05-16 |
| 1427440585 | Charles Matthews | Counselor | 434 Warren St, Boston, MA 02121-1325 | 2015-02-26 |
| 1689899676 | Charles Harrison Matthews Jr. | Family Medicine | 1322 Spring St, Jeffersonville, IN 47130 | 2007-04-16 |
| 1891866885 | Charles Matthews | Psychiatry & Neurology | 2501 Atrium Dr, Suite 400, Raleigh, NC 27607-6452 | 2006-11-13 |
| 1609828284 | Charles C Matthews | Radiology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-05-16 |
| Street Address |
2799 LAWRENCEVILLE HWY SUITE 107 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326029125 | Thomas Elliot Edwards Jr. | Specialist | 2799 Lawrenceville Hwy, Suite 104, Decatur, GA 30033-2531 | 2005-11-09 |
| 1811379746 | Physio | Clinic/Center | 2799 Lawrenceville Hwy, Suite 205, Decatur, GA 30033-2531 | 2015-06-27 |
| 1316296411 | Kathleen M. Raviele, Md PC | Obstetrics & Gynecology | 2799 Lawrenceville Hwy, Suite 110, Decatur, GA 30033-2517 | 2012-09-05 |
| 1366707770 | Sara Elizabeth Dale | Physical Therapist | 2799 Lawrenceville Hwy, Suite 205, Decatur, GA 30033-2531 | 2012-07-11 |
| 1659512572 | Alison Wright Maskell | Physical Therapist | 2799 Lawrenceville Hwy, Suite 205, Decatur, GA 30033-2531 | 2009-03-24 |
| 1225191463 | Trudi Bratten Johnston | Psychologist | 2799 Lawrenceville Hwy, Suite 107, Decatur, GA 30033-2517 | 2006-12-19 |
| 1316000557 | Carl William Kissiah Jr. | Psychologist | 2799 Lawrenceville Hwy, Suite 107, Decatur, GA 30033-2517 | 2006-12-19 |
| 1205902822 | Marc L. Herscher | Physical Therapist | 2799 Lawrenceville Hwy, 205, Decatur, GA 30033-2531 | 2006-11-27 |
| 1508954298 | Kathleen M Raviele | Obstetrics & Gynecology | 2799 Lawrenceville Hwy, Suite 110, Decatur, GA 30033-2517 | 2006-10-10 |
| 1942305354 | Dynamic Health Care Systems, Inc. | Hospice Care, Community Based | 2799 Lawrenceville Hwy, Suite 106, Decatur, GA 30033-2517 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115564 | Averette Consultation & Therapy, LLC | Counselor | 2789 Lakeview Walk, Decatur, GA 30035-4061 | 2019-07-10 |
| 1972070274 | Lelah Ray | Counselor | 235 N Mill St Ste 800, Decatur, IL 62523-1381 | 2018-10-25 |
| 1821540865 | Heritage Behavioral Health Center | Counselor | 1029 N Water St, Decatur, IL 62523-1022 | 2016-10-25 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1053749168 | Matthew Wagner | Counselor | 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 | 2013-10-29 |
| 1699011155 | Whitney Terree Tyler | Counselor | 3630 Camp Cir Ste 102, Decatur, GA 30032-1304 | 2013-01-02 |
| 1114273315 | Fresh Start Community Developers, LLC | Counselor | 46 Sycamore Sta, Decatur, GA 30030-2757 | 2012-07-25 |
| 1518103662 | Lunye Geter | Counselor | 2799 Lawrenceville Highway, Ste 201, Decatur, GA 30033-2517 | 2008-12-19 |
| 1346416013 | Elaine Rowland Tophia | Counselor | 2283 Waters Run, Decatur, GA 30035-2528 | 2008-05-02 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MR. CHARLES DAVID MATTHEWS.
| 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.