MATTHEW RAYMOND MONACO MD
NPI 1790315083
Student in an Organized Health Care Education/Training Program in Marietta, GA

Q: What is Matthew Monaco's NPI number?

The NPI number for Matthew Monaco is 1790315083. It was assigned to this individual provider in the NPPES registry on January 25, 2020.

Q: What is Matthew Monaco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Monaco was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since January 25, 2020PECOS Enrolled

677 CHURCH ST NE, MARIETTA, GA 30060(678) 770-0584 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Apr 9, 2020, Jan 25, 2020 (3 updates tracked since 2020).

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About Matthew Raymond Monaco Md NPPES

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

MATTHEW RAYMOND MONACO MD (NPI 1790315083) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790315083

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW RAYMOND MONACOCredential: MD

Location Address677 CHURCH ST NEMarietta, GA 30060-1101

Mailing Address677 Church St NeMarietta, GA 30060-1101

Phone(678) 770-0584

Sole ProprietorNo

Enumeration DateJanuary 25, 2020

Last NPPES UpdateApril 28, 20253 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1790315083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0101272955 (VA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101272955 (VA)

677 CHURCH ST NE, Marietta, GA 30060

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Secondary Practice Locations 3

Location 1620 John Paul Jones Cir Ste 275Portsmouth, VA 23708-2197 · Phone (757) 953-5000

Location 22122 Longfellow RdYorktown, VA 23691-5118 · Phone (757) 968-1178

Location 35502 Marvin Shields BlvdGulfport, MS 39501 · Phone (678) 770-0584

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 Raymond Monaco Md 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.

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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.

JILLIAN MARIE BLALOCK DO

Emergency Medicine

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

JAMIN GRAHAM MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

SAUMYA GURBANI MD, PHD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060

Cobb County (770) 793-7742

DR. HALEY PUCKETT LAWHORN MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MRS. RHONDA KIM LEE NP-C

Registered Nurse (Wound Care)

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-7173

DEVIN HORTON CRNA

Nurse Anesthetist, Certified Registered

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 794-0477

BRITNEY ELIZABETH BECKETT

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MS. EVELYN KAY HALE RN

Registered Nurse

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-9560

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 Monaco's NPI number?

The NPI number for Matthew Monaco is 1790315083. It was assigned to this individual provider in the NPPES registry on January 25, 2020.

Where is Matthew Monaco located?

Matthew Monaco practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (678) 770-0584.

What is Matthew Monaco'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 Monaco enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Matthew Monaco was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.