MRS. CHERI STAPLES STAPLES MATTHEWS NP NPI 1801189972

NPI Information

NPI: 1801189972
Provider Name: MRS. CHERI STAPLES STAPLES MATTHEWS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3825 MEDICAL PARK DR,
SUITE 301
AUSTELL, GA
ZIP 30106
Phone: (404) 605-2800
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MRS. Cheri Staples Staples Matthews, NP is a family nurse practitioner in Austell, GA with 14 years of experience. MRS. Cheri Staples Staples Matthews, NP NPI is 1801189972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3825 MEDICAL PARK DR,
SUITE 301
AUSTELL, GA
ZIP 30106
Phone: (404) 605-2800
Fax: (678) 324-4275

The NPI 1801189972 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN135902	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	135902	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003129185E	MEDICAID	GEORGIA
2	003129185A	MEDICAID	GEORGIA
3	003129185B	MEDICAID	GEORGIA
4	202I507648	MEDICARE PIN	GEORGIA
5	003129185C	MEDICAID	GEORGIA
6	003129185D	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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