CORWIN OSWALD DEMATTOS
NPI 1720617756
Nurse Practitioner - Family in Grayson, GA
About Corwin Oswald Demattos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORWIN OSWALD DEMATTOS (NPI 1720617756) is an individual family provider in Grayson, Georgia, licensed in Georgia (189365) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Corwin Oswald Demattos 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Corwin Demattos's NPI number?
The NPI number for Corwin Demattos is 1720617756. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Corwin Demattos located?
Corwin Demattos practices at 1637 Atlanta Hwy Suite A, Grayson, GA 30017. The listed phone number is (678) 344-8268.
What is Corwin Demattos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Corwin Demattos enrolled in Medicare?
Yes. Corwin Demattos 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 Corwin Demattos affiliated with any hospitals?
According to CMS data, Corwin Demattos is affiliated with Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Corwin Demattos was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Corwin Oswald Demattos · NPI 1720617756
Family physician in Grayson, Georgia. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1720617756 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 189365 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1637 ATLANTA HWY SUITE A, Grayson, GA 30017-3001
- **Phone:** (678) 344-8268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 2, 2021
- **Other identifiers:** Other 054674999 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720617756) · Data from the CMS NPPES public registry.