MATTHEW CARMICHAEL M.D.
NPI 1871820852
Otolaryngology in Lawrenceville, GA
About Matthew Carmichael M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW CARMICHAEL M.D. (NPI 1871820852) is an individual otolaryngology provider in Lawrenceville, Georgia, licensed in Georgia (79617) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Suwanee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Carmichael M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Carmichael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Suwanee, GA 30024
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Northeast Atlanta Ear Nose & Throat, P.C.
- 19 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.
Areas of Expertise CMS Part B claims 10
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GANorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carmichael's NPI number?
The NPI number for Matthew Carmichael is 1871820852. It was assigned to this individual provider in the NPPES registry on November 11, 2009.
Where is Matthew Carmichael located?
Matthew Carmichael practices at 766 Walther Rd Ste 300, Lawrenceville, GA 30046. The listed phone number is (770) 237-3000.
What is Matthew Carmichael's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Matthew Carmichael enrolled in Medicare?
Yes. Matthew Carmichael 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.
Which organization bills Medicare for Matthew Carmichael's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Carmichael reassigns Medicare benefits to Northeast Atlanta Ear Nose & Throat, PC (Suwanee, GA). 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 Matthew Carmichael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Carmichael accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Matthew Carmichael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Carmichael affiliated with any hospitals?
According to CMS data, Matthew Carmichael is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Carmichael was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Matthew Carmichael, M.D. · NPI 1871820852
Otolaryngology physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since November 11, 2009.
## Identity
- **NPI:** 1871820852 (Entity type: Individual)
- **Enumerated:** November 11, 2009
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 79617 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 766 WALTHER RD STE 300, Lawrenceville, GA 30046
- **Phone:** (770) 237-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Atlanta Ear Nose & Throat, PC (NPI 1194836254, Suwanee, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1871820852) · Data from the CMS NPPES public registry.