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MATTHEW CHARLES GILLEN MD
NPI 1366974461
Pediatrics - Neonatal-Perinatal Medicine in Atlanta, GA

Active since March 29, 2017PECOS Enrolled
2015 UPPERGATE DRIVE NE 5TH FLOOR, ATLANTA, GA 30322(404) 727-5765(404) 727-3236 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Jul 1, 2021, Aug 28, 2020 and 2 more (5 updates tracked since 2017).

About Matthew Charles Gillen Md NPPES

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

MATTHEW CHARLES GILLEN MD (NPI 1366974461) is an individual neonatal-perinatal medicine provider in Atlanta, Georgia, licensed in Georgia (88862) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366974461
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMATTHEW CHARLES GILLENCredential: MD
Location Address2015 UPPERGATE DRIVE NE 5TH FLOORAtlanta, GA 30322-3039
Mailing Address2015 Uppergate Drive Ne 5th FloorAtlanta, GA 30322-0001 · (404) 727-5765 · Fax (404) 727-3236
Phone(404) 727-5765
Fax(404) 727-3236
Sole ProprietorNo
Enumeration DateMarch 29, 2017
Last NPPES UpdateJuly 12, 20245 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1366974461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in GA · 88862
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 88862 (GA), 35.139244 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2015 UPPERGATE DRIVE NE 5TH FLOOR, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Charles Gillen Md 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.

Other Providers at the Same Location NPPES 4

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

DR. ERIN ELIZABETH BOLEN MD
Pediatrics
2015 UPPERGATE DRIVE NE 5TH FLOOR
ATLANTA, GA 30322
Dekalb County (404) 727-5765
CHRISTINE SUGIMOTO MD
Pediatrics (Neonatal-Perinatal Medicine)
2015 UPPERGATE DRIVE NE 5TH FLOOR
ATLANTA, GA 30322
Dekalb County (404) 727-2469
NITYA NAIR SHAH M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2015 UPPERGATE DRIVE NE 5TH FLOOR
ATLANTA, GA 30322
Dekalb County (404) 727-5765
MIRAL MEHYAR MBBS
Student in an Organized Health Care Education/Training Program
2015 UPPERGATE DRIVE NE 5TH FLOOR
ATLANTA, GA 30322
Dekalb County (404) 727-5765

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 Gillen's NPI number?

The NPI number for Matthew Gillen is 1366974461. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Matthew Gillen located?

Matthew Gillen practices at 2015 Uppergate Drive NE 5th Floor, Atlanta, GA 30322. The listed phone number is (404) 727-5765.

What is Matthew Gillen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Matthew Gillen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Gillen was last updated on July 12, 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.