DR. JENSON T MATHEW MD
NPI 1285291070
Family Medicine in Lavonia, GA

Active since May 28, 2019PECOS EnrolledAccepts Medicare Assignment
367 CLEAR CREEK PKWY, LAVONIA, GA 30553(912) 584-9416 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, May 28, 2019 (2 updates tracked since 2019).

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

NPI1285291070
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENSON T MATHEWCredential: MD
Location Address367 CLEAR CREEK PKWYLavonia, GA 30553-4173
Mailing Address3085 Scarlet Oak PassCumming, GA 30041-1648 · (912) 584-9416
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 28, 2019
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1285291070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 91384 Licensed in GA · 10952
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 91384 (GA)
367 CLEAR CREEK PKWY, Lavonia, GA 30553

Secondary Practice Locations 2

Location 11459 Laney Walker BlvdAugusta, GA 30912-0002 · Phone (706) 721-7005
Location 211379 Southbridge PkwyAlpharetta, GA 30022-4402 · Phone (770) 777-0750

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID244565174
PECOS Enrollment IDI20220718001857
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services60 patients

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, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Physician 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.

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 18

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

Emergency Medicine
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Dietitian, Registered
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Physical Therapist
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Anesthesiology
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Hospitalist
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Nurse Practitioner (Family)
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Physical Therapist
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
General Acute Care Hospital (Rural)
367 CLEAR CREEK PKWY
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.

What insurance does Jenson Mathew accept?

Health plans from Alliant Health Plans, Inc. 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.