DR. JENSON T MATHEW MD
NPI 1285291070
Family Medicine in Lavonia, GA
About Dr. Jenson T Mathew Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENSON T MATHEW MD (NPI 1285291070) is an individual family medicine provider in Lavonia, Georgia, licensed in Georgia (91384) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ty Cobb Regional Medical Center, Llc, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 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
Dr. Jenson T Mathew Md 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 Reassignments
5Medicare enrollment records show Jenson Mathew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lavonia, GA 30553
- Reassigned Medicare billing, Georgia enrollment
- 30 clinicians in this Medicare group
Cumming, GA 30041
- Reassigned Medicare billing, Georgia enrollment
- 24 clinicians in this Medicare group
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 5 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 335 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
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.
Ty Cobb Regional Medical Center, LLC
Acute Care Hospitals · Lavonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAVONIA, GA 30553
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 Jenson Mathew's NPI number?
The NPI number for Jenson Mathew is 1285291070. It was assigned to this individual provider in the NPPES registry on May 28, 2019.
Where is Jenson Mathew located?
Jenson Mathew practices at 367 Clear Creek Pkwy, Lavonia, GA 30553. The listed phone number is (912) 584-9416.
What is Jenson Mathew's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jenson Mathew enrolled in Medicare?
Yes. Jenson Mathew 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 organizations bill Medicare for Jenson Mathew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenson Mathew reassigns Medicare benefits to 5 organizations: Vituity-Georgia Hospitalists PC (Lavonia, GA), Healogics Specialty Physicians Of Georgia, LLC (Cumming, GA), Metro Medical Associates LLC (Alpharetta, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and Apogee Medical Group Georgia Inc (Carrollton, GA). Each 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 Jenson Mathew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenson Mathew accept?
Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Jenson Mathew 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 Jenson Mathew affiliated with any hospitals?
According to CMS data, Jenson Mathew is affiliated with Ty Cobb Regional Medical Center, LLC.
When was this NPI record last updated?
The NPPES record for Jenson Mathew was last updated on April 23, 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.
# Dr. Jenson T Mathew, MD · NPI 1285291070
Family Medicine physician in Lavonia, Georgia. Individual provider, active in the CMS NPPES registry since May 28, 2019.
## Identity
- **NPI:** 1285291070 (Entity type: Individual)
- **Enumerated:** May 28, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 91384 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 367 CLEAR CREEK PKWY, Lavonia, GA 30553-4173
- **Phone:** (912) 584-9416
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Vituity-Georgia Hospitalists PC (NPI 1366291882, Lavonia, GA); Healogics Specialty Physicians Of Georgia, LLC (NPI 1336790468, Cumming, GA); Metro Medical Associates LLC (NPI 1982619789, Alpharetta, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); Apogee Medical Group Georgia Inc (NPI 1629025143, Carrollton, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285291070) · Data from the CMS NPPES public registry.