DR. VIVIN MATHEW (NPI# 1376938381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376938381 |
| Entity Type | Individual |
| Full Name | DR. VIVIN MATHEW |
| Credential | M.D. |
| Practice Address |
2801 Dekalb Medical Pkwy Lithonia GA 30058 |
| Mailing Address |
2801 Dekalb Medical Pkwy Lithonia GA 30058-4996 |
| Practice Telephone | 4045018000 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 081217 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 10th Ave Ste 100, Columbus, GA 319013601 | 7065711430 |
| Street Address |
2801 DEKALB MEDICAL PKWY |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403865 | Dekalb Medical Hillandale | General Acute Care Hospital | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2005-08-02 |
| 1902379894 | Joy A Nwafor-akobundu | Family Medicine | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2019-01-03 |
| 1306315882 | Tara E Felix | Speech-Language Pathologist | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2018-11-14 |
| 1659871663 | Rita Alema-mensah | Nurse Practitioner | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2018-02-16 |
| 1073021002 | Glory Abuajah | Nurse Practitioner | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2018-01-11 |
| 1801240114 | Kevan Desai | Internal Medicine | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2016-04-22 |
| 1760836647 | Hasset G Kiflay | Nurse Practitioner | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2016-04-18 |
| 1962864306 | Quanghuy Vu | Internal Medicine | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058 | 2016-03-24 |
| 1235578931 | Kyle Aman | Physical Medicine & Rehabilitation | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2013-06-17 |
| 1083913230 | Osarenomase Egharevba | Internal Medicine | 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 | 2011-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| 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 |
|---|---|---|---|---|
| 1962866392 | Hedayah Scoon | Family Medicine | 11007 Stonecrest Trl, Lithonia, GA 30038-2512 | 2016-04-12 |
| 1932495215 | Candace Charysse White | Family Medicine | 2745 Dekalb Medical Pkwy Ste 110, Lithonia, GA 30058-4933 | 2011-06-24 |
| 1144464512 | Affordable Medical Care of Georgia LLC | Family Medicine | 2724 Evans Mill Rd, Lithonia, GA 30058-7417 | 2009-04-28 |
| 1982750048 | Harper & Associates Family Medicine, P.C. | Family Medicine | 5910 Hillandale Drive, Suite 301, Lithonia, GA 30058 | 2007-01-25 |
| 1871669994 | Kenneth Wesley Harper | Family Medicine | 6000 Hillandale Dr Ste 100, Lithonia, GA 30058-4860 | 2006-11-28 |
| 1396817532 | Saira T. Niaz | Family Medicine | 2523 Panola Rd, Lithonia, GA 30058-4831 | 2006-11-14 |
| 1417046871 | Joan Andrea Harden | Family Medicine | Boll Mall Parkway, Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038 | 2006-10-12 |
| 1902990336 | Dharmeshkumar Chhaganlal Patel | Family Medicine | 2491 Panola Rd, Lithonia, GA 30058-4831 | 2006-10-02 |
| 1447232103 | Jada Ea Moore-ruffin | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2005-11-17 |
| 1992797229 | Isioma Theresa Okobah | Family Medicine | 2505 Panola Rd, Suite A, Lithonia, GA 30058-4831 | 2005-08-23 |
| Find all providers in LITHONIA | ||||
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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.