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MATTHEW RUMSEY
NPI 1174941165
Pediatrics in Calhoun, GA

Active since April 07, 2014PECOS Enrolled
204 PROFESSIONAL CT SE, CALHOUN, GA 30701(706) 625-5900 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2018, Jul 14, 2017 (2 updates tracked since 2017).

About Matthew Rumsey NPPES

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

MATTHEW RUMSEY (NPI 1174941165) is an individual pediatrics provider in Calhoun, Georgia, licensed in Georgia (78568) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174941165
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW RUMSEY
Location Address204 PROFESSIONAL CT SECalhoun, GA 30701-7020
Mailing Address204 Professional Ct SeCalhoun, GA 30701-7020 · (706) 625-5900
Phone(706) 625-5900
Sole ProprietorNo
Enumeration DateApril 7, 2014
Last NPPES UpdateJanuary 10, 20182 updates tracked since enumeration
✔ NPI 1174941165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 78568
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
204 PROFESSIONAL CT SE, Calhoun, GA 30701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Rumsey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Rumsey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc
60 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

COURTNEY PARHAM JOHNSON PA-C
Physician Assistant
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900
JENNIFER M SMITH PA
Physician Assistant
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900
DANA LYNN DOCKERY LCSW
Counselor (Mental Health)
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900
LISA A REED PNP-C
Nurse Practitioner (Pediatrics)
204 PROFESSIONAL CT SE, STE. 400
CALHOUN, GA 30701
Gordon County (706) 625-5900
AGC PEDIATRICS, LLC
Specialist
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900
CARRIE D SMITH M.D.
Specialist
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900
DR. WAYNE N DARVILLE M.D.
Pediatrics
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900
REBEKAH LYNNE KIRBY PA-C
Physician Assistant
204 PROFESSIONAL CT SE
CALHOUN, GA 30701
Gordon County (706) 625-5900

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 Rumsey's NPI number?

The NPI number for Matthew Rumsey is 1174941165. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Matthew Rumsey located?

Matthew Rumsey practices at 204 Professional Ct SE, Calhoun, GA 30701. The listed phone number is (706) 625-5900.

What is Matthew Rumsey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Rumsey enrolled in Medicare?

Yes. Matthew Rumsey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Rumsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Rumsey reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, 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 Rumsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Rumsey accept?

Health plans from Oscar Health list Matthew Rumsey 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.

When was this NPI record last updated?

The NPPES record for Matthew Rumsey was last updated on January 10, 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.