MATRIARCH MEDICAL LLC
NPI 1295611077
Clinic/Center - Primary Care in Monroe, GA
About Matriarch Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATRIARCH MEDICAL LLC (NPI 1295611077) is a healthcare organization registered as a primary care in Monroe, Georgia and active in the NPI registry since August 2025. The organization lists Amy Sargent, Owner/sole Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matriarch Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Matriarch Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Matriarch Medical LLC's NPI number?
The NPI number for Matriarch Medical LLC is 1295611077. It was assigned to this organization in the NPPES registry on August 15, 2025. The provider is also known as Base of Operations.
Where is Matriarch Medical LLC located?
Matriarch Medical LLC is located at 155 Bankers Blvd Ste E200, Monroe, GA 30655. The listed phone number is (770) 652-8762.
What is Matriarch Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Matriarch Medical LLC enrolled in Medicare?
Yes. Matriarch Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Matriarch Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Matriarch Medical LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Matriarch Medical LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Matriarch Medical Llc · NPI 1295611077
Primary Care organization in Monroe, Georgia. Organization record, active in the CMS NPPES registry since August 15, 2025.
## Identity
- **NPI:** 1295611077 (Entity type: Organization)
- **Enumerated:** August 15, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Base of Operations (Other Name)
- **Organization subpart:** No
- **Authorized official:** Amy Sargent, OWNER/SOLE PROPRIETOR
## Practice location
- **Address:** 155 BANKERS BLVD STE E200, Monroe, GA 30655-7724
- **Phone:** (770) 652-8762
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295611077) · Data from the CMS NPPES public registry.