MATTHEW LEE ESTES NP-C
NPI 1104213339
Nurse Practitioner in Hiram, GA
About Matthew Lee Estes Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW LEE ESTES NP-C (NPI 1104213339) is an individual nurse practitioner in Hiram, Georgia, licensed in Georgia (RN184263) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Lee Estes Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Estes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Paulding Medical Center
Acute Care Hospitals · Hiram, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Estes's NPI number?
The NPI number for Matthew Estes is 1104213339. It was assigned to this individual provider in the NPPES registry on April 26, 2015.
Where is Matthew Estes located?
Matthew Estes practices at 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141. The listed phone number is (770) 505-0023.
What is Matthew Estes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Matthew Estes enrolled in Medicare?
Yes. Matthew Estes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Matthew Estes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Estes reassigns Medicare benefits to Wellstar Medical Group, LLC (Hiram, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Estes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Estes accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Matthew Estes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Estes affiliated with any hospitals?
According to CMS data, Matthew Estes is affiliated with Wellstar Paulding Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Estes was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Lee Estes, NP-C · NPI 1104213339
Nurse Practitioner physician in Hiram, Georgia. Individual provider, active in the CMS NPPES registry since April 26, 2015.
## Identity
- **NPI:** 1104213339 (Entity type: Individual)
- **Enumerated:** April 26, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN184263 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 148 BILL CARRUTH PKWY STE 220, Hiram, GA 30141
- **Phone:** (770) 505-0023 · **Fax:** (770) 505-9003
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1003112640, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104213339) · Data from the CMS NPPES public registry.