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DR. MATTHEW ZHANG DDS
NPI 1205401957
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since May 25, 2021Opted out of Medicare · through Apr 16, 2028
1120 15TH ST, AUGUSTA, GA 30912(706) 721-9744 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2023, May 25, 2021 (2 updates tracked since 2021).

About Dr. Matthew Zhang Dds NPPES

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

DR. MATTHEW ZHANG DDS (NPI 1205401957) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Texas (37592) and active in the NPI registry since May 2021. He has opted out of Medicare through April 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205401957
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MATTHEW ZHANGCredential: DDS
Location Address1120 15TH STAugusta, GA 30912-3923
Mailing Address1430 John Wesley Gilbert DriveAugusta, GA 30912-0001 · (706) 721-9744
Phone(706) 721-9744
Sole ProprietorNo
Enumeration DateMay 25, 2021
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1205401957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · 37592
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 15TH ST, Augusta, GA 30912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew Zhang Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2026 through April 16, 2028.

Opt-Out Effective DateApril 16, 2026
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Zhang's NPI number?

The NPI number for Matthew Zhang is 1205401957. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Matthew Zhang located?

Matthew Zhang practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-9744.

What is Matthew Zhang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Zhang enrolled in Medicare?

No. Matthew Zhang has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Matthew Zhang was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.