1. Home
  2. Directory
  3. Georgia
  4. Sugar Hill
  5. Family Medicine
  6. NPI Profile

MS. MATILDA MABEL ANTWI NP
NPI 1649975731
Family Medicine in Sugar Hill, GA

Active since March 30, 2023PECOS Enrolled
715 RIVER RUSH DR, SUGAR HILL, GA 30518(630) 202-6958 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Matilda Mabel Antwi Np NPPES

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

MS. MATILDA MABEL ANTWI NP (NPI 1649975731) is an individual family medicine provider in Sugar Hill, Georgia, licensed in Georgia (F03230449) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649975731
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. MATILDA MABEL ANTWICredential: NP
Location Address715 RIVER RUSH DRSugar Hill, GA 30518-7465
Mailing Address715 River Rush Dr # 715Sugar Hill, GA 30518-7465 · (630) 202-6958
Phone(630) 202-6958
Sole ProprietorNo
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1649975731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · F03230449
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.
715 RIVER RUSH DR, Sugar Hill, GA 30518
Open in Google Maps ↗

Other Names 1

Professional Name (2)Miss Matilda Mabel Antwi Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Matilda Mabel Antwi Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Matilda Antwi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Health Network LLC
208 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 274 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Matilda Antwi's NPI number?

The NPI number for Matilda Antwi is 1649975731. It was assigned to this individual provider in the NPPES registry on March 30, 2023. The provider is also known as Miss Matilda Mabel Antwi Np.

Where is Matilda Antwi located?

Matilda Antwi practices at 715 River Rush Dr, Sugar Hill, GA 30518. The listed phone number is (630) 202-6958.

What is Matilda Antwi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matilda Antwi enrolled in Medicare?

Yes. Matilda Antwi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matilda Antwi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matilda Antwi reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The 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 Matilda Antwi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matilda Antwi was last updated on March 30, 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.