JOSEPH D MATTHEWS JR.
NPI 1710984695
Dentist - Orofacial Pain in Stone Mountain, GA

Active since July 07, 2005PECOS Enrolled
2415 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087(470) 986-1004 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2019, Dec 27, 2017 (2 updates tracked since 2017).

About Joseph D Matthews Jr. NPPES

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

JOSEPH D MATTHEWS JR. (NPI 1710984695) is an individual orofacial pain provider in Stone Mountain, Georgia, licensed in Georgia (DN123016) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710984695
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameJOSEPH D MATTHEWS JR.
Location Address2415 W PARK PLACE BLVDStone Mountain, GA 30087-3566
Mailing Address2415 W Park Place BlvdStone Mountain, GA 30087-3566 · (470) 986-1004
Sole ProprietorYes
Enumeration DateJuly 7, 2005
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1710984695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
Licenses✔ Licensed in GA · DN123016✔ Licensed in AZ · D008997
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD1673 (NM)
2415 W PARK PLACE BLVD, Stone Mountain, GA 30087

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph D Matthews Jr. 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 Joseph Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral and Maxillofacial Surgery
4781 E CAMP LOWELL DR STE 101
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 2

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

Dentist
2415 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dentist (General Practice)
2415 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087

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 Joseph Matthews's NPI number?

The NPI number for Joseph Matthews is 1710984695. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Joseph Matthews located?

Joseph Matthews practices at 2415 W Park Place Blvd, Stone Mountain, GA 30087. The listed phone number is (470) 986-1004.

What is Joseph Matthews's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Joseph Matthews enrolled in Medicare?

Yes. Joseph Matthews is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Matthews reassigns Medicare benefits to Stephen J Harkins DDS PC (Tucson, AZ). 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 Joseph Matthews'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 Joseph Matthews was last updated on January 23, 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.