Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW MICHAEL MCDONOUGH
NPI 1669220695
General Practice in Fort Liberty, NC

Active since May 06, 2024PECOS Enrolled
2817 ROCK MERRITT AVENUE, FORT LIBERTY, NC 28310(910) 907-6000 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Michael Mcdonough NPPES

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

MATTHEW MICHAEL MCDONOUGH (NPI 1669220695) is an individual general practice provider in Fort Liberty, North Carolina, licensed in North Carolina (2026-01822) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669220695
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMATTHEW MICHAEL MCDONOUGH
Location Address2817 ROCK MERRITT AVENUEFort Liberty, NC 28310-0001
Mailing Address15 Commando AveFort Bragg, NC 28307-1503
Sole ProprietorNo
Enumeration DateMay 6, 2024
Last NPPES UpdateJune 20, 2026
NPPES CertifiedJune 20, 2026
NPI 1669220695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NC · 2026-01822
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2817 ROCK MERRITT AVENUE, Fort Liberty, NC 28310

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 Michael Mcdonough 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 20

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

Family Medicine
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Obstetrics & Gynecology
2817 ROCK MERRITT AVENUE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
General Practice
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310
Social Worker (Clinical)
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Registered Nurse
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Psychologist (Clinical)
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Registered Nurse (Case Management)
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310

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 Mcdonough's NPI number?

The NPI number for Matthew Mcdonough is 1669220695. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Matthew Mcdonough located?

Matthew Mcdonough practices at 2817 Rock Merritt Avenue, Fort Liberty, NC 28310. The listed phone number is (910) 907-6000.

What is Matthew Mcdonough's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Matthew Mcdonough enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Mcdonough was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.