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JAIBA PAUL MATHEW AGACNP-BC
NPI 1669090460
Nurse Practitioner - Acute Care in Atlanta, GA

Active since July 08, 2020PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 252-0256(404) 252-0256 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaiba Paul Mathew Agacnp-bc NPPES

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

JAIBA PAUL MATHEW AGACNP-BC (NPI 1669090460) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN207189) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1669090460
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJAIBA PAUL MATHEWCredential: AGACNP-BC
Location Address980 JOHNSON FY RD NEAtlanta, GA 30342-1626
Mailing Address840 Streamview WayAlpharetta, GA 30004-5954 · (832) 692-8396
Phone(404) 252-0256
Fax(404) 252-0256
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1669090460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN207189
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN207189 (GA)
980 JOHNSON FY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Secondary Practice Location 1

Location 15665 Peachtree DunwoodyAtlanta, GA 30342-1764 · Phone (678) 843-7001

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

Jaiba Paul Mathew Agacnp-bc 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 ID3274959432
PECOS Enrollment IDI20200818003094
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Other Providers at the Same Location NPPES 17

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

DR. CHARLES RICHARD CUMMINGS JR. M.D.
Surgery
980 JOHNSON FY RD NE, SUITE 880
ATLANTA, GA 30342
Fulton County (404) 252-0503
REBECCA M BOSCH OT
Occupational Therapist
980 JOHNSON FY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1242
KELLEY B DOPSON M.D.
Obstetrics & Gynecology
980 JOHNSON FY RD NE, SUITE 720
ATLANTA, GA 30342
Fulton County (404) 252-3898
WILLIAM E SILVER MD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
980 JOHNSON FY RD NE, STE 110
ATLANTA, GA 30342
Fulton County (404) 256-5428
DR. JOYCE CHOI PEJI MD
Internal Medicine (Gastroenterology)
980 JOHNSON FY RD NE, SUITE 820
ATLANTA, GA 30342
Fulton County (404) 252-9307
MR. AARON MICHAEL MALUCCI PA-C
Physician Assistant
980 JOHNSON FY RD NE, SUITE 940
ATLANTA, GA 30342
Fulton County (404) 851-6000
DR. BENEDICT B BENIGNO M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
980 JOHNSON FY RD NE, SUITE 130
ATLANTA, GA 30342
Fulton County (404) 300-2990
MEGAN ELIZABETH STEVENS MHS, OTR L
Occupational Therapist (Hand)
980 JOHNSON FY RD NE, SUITE 1020
ATLANTA, GA 30342
Fulton County (404) 255-0226

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 Jaiba Mathew's NPI number?

The NPI number for Jaiba Mathew is 1669090460. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Jaiba Mathew located?

Jaiba Mathew practices at 980 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 252-0256.

What is Jaiba Mathew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jaiba Mathew enrolled in Medicare?

Yes. Jaiba 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.

Is Jaiba Mathew affiliated with any hospitals?

According to CMS data, Jaiba Mathew is affiliated with Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Jaiba Mathew was last updated on July 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.