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MATTHEW CARROLL
NPI 1720732068
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since February 07, 2022PECOS Enrolled
100 WOODRUFF CIR NE, ATLANTA, GA 30322(404) 727-5660 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Carroll NPPES

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

MATTHEW CARROLL (NPI 1720732068) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720732068
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW CARROLL
Location Address100 WOODRUFF CIR NEAtlanta, GA 30322-1020
Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-1020 · (404) 727-5660
Phone(404) 727-5660
Sole ProprietorNo
Enumeration DateFebruary 7, 2022
NPPES CertifiedFebruary 7, 2022
✔ NPI 1720732068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 WOODRUFF CIR NE, Atlanta, GA 30322
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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 Carroll 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.

QSANET TEKIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
JOSHUA HYUNKEE KIM
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
PATRICIA ELIZABETH CHAN
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5910
KAMSIYONNA ADICHIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
BENNETT BOUSHKA
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
SOPHIE BLASBERG
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
DESTINY EKWUEME
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
ANDEE KOO
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5640

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 Carroll's NPI number?

The NPI number for Matthew Carroll is 1720732068. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Matthew Carroll located?

Matthew Carroll practices at 100 Woodruff Cir NE, Atlanta, GA 30322. The listed phone number is (404) 727-5660.

What is Matthew Carroll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Carroll enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Carroll was last updated on February 7, 2022. 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.