1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Nurse Practitioner
  6. NPI Profile

CARROLL CLAYTON MATTHEWS
NPI 1154160042
Nurse Practitioner in Lake City, FL

Active since May 21, 2024
484 SW COMMERCE DR STE 101, LAKE CITY, FL 32025(386) 406-2577(855) 618-2462 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carroll Clayton Matthews NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARROLL CLAYTON MATTHEWS (NPI 1154160042) is an individual nurse practitioner in Lake City, Florida, licensed in Florida (9219632) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1154160042
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCARROLL CLAYTON MATTHEWS
Location Address484 SW COMMERCE DR STE 101Lake City, FL 32025-1508
Mailing Address484 Sw Commerce Dr Ste 101Lake City, FL 32025-1508 · (386) 406-2577 · Fax (855) 618-2462
Phone(386) 406-2577
Fax(855) 618-2462
Sole ProprietorNo
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1154160042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 9219632
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
484 SW COMMERCE DR STE 101, Lake City, FL 32025
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICS PRIMARY CARE
Clinic/Center (Primary Care)
484 SW COMMERCE DR STE 101
LAKE CITY, FL 32025
Columbia County (386) 406-2577

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 Carroll Matthews's NPI number?

The NPI number for Carroll Matthews is 1154160042. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Carroll Matthews located?

Carroll Matthews practices at 484 SW Commerce Dr Ste 101, Lake City, FL 32025. The listed phone number is (386) 406-2577.

What is Carroll Matthews's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Carroll Matthews was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.