Dr. Matthew Justice Kornegay
MD | Pediatrics | Male
Dr. Matthew Justice Kornegay, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Matthew Justice Kornegay is
Po Box 751461, Charlotte, North Carolina - 28275-1461. He can be contacted on phone at
843-792-6200.
Dr. Matthew Justice Kornegay is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Matthew Justice Kornegay is
1922042654 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 16 Mar, 2023.
Dr. Matthew Justice Kornegay license number is
31144 for Pediatrics (208000000X) in South Carolina.
Dr. Matthew Justice Kornegay is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Matthew Justice Kornegay basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Matthew Justice Kornegay |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Matthew Justice Kornegay address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1922042654 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jun, 2006 |
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| Last Updated On : | 16 Mar, 2023 |
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Medicare Participation:
Dr. Matthew Justice Kornegay participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9032113485 |
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| Medicare Enrollment ID : | I20081112000080 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Medical University Of South Carolina College Of Medicine |
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| Graduation Year : | 2002 |
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| Accepts Medicare? | May accept. Dr. Matthew Justice Kornegay may accepts medicare insurance. |
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Group Practice Association:
Dr. Matthew Justice Kornegay is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Matthew Justice Kornegay is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Liberty Doctors Llc | 0840466017 | 37 | 1483 Tobias Gadson Blvd
Suite 101
Charleston, SC - 294074795
Ph: 8434051110 | Yes |
| Liberty Doctors Llc | 0840466017 | 37 | 418 Folly Rd A
Charleston, SC - 294122625 | Yes |
| Liberty Doctors Llc | 0840466017 | 37 | 418 Folly Rd
Ab
Charleston, SC - 294122625
Ph: 8432258320 | Yes |
| Roper Saint Francis Physicians Network | 5193874824 | 397 | 2075 Eagle Landing Blvd
N Charleston, SC - 294064074 | Yes |
| Roper Saint Francis Physicians Network | 5193874824 | 397 | 319 Folly Rd
Charleston, SC - 294122518
Ph: 8432032246 | Yes |
| Roper Saint Francis Physicians Network | 5193874824 | 397 | 3885 W Ashley Cir
Suite F600
Charleston, SC - 294149273 | Yes |
| University Medical Associates | 6305758574 | 1198 | 171 Ashley Ave
Charleston, SC - 294258908
Ph: 8437921414 | Yes |
| Charleston Medical Associates | 8820344591 | 2 | 1483 Tobias Gadson Blvd
Suite 101
Charleston, SC - 294074795
Ph: 8643646695 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Justice Kornegay are as mentioned. Primary taxonomy code for Dr. Matthew Justice Kornegay, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 31144 | SC |
| 208000000X | Pediatrics | Yes | 31144 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Matthew Justice Kornegay such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 311442 | MEDICAID | SC | |
| AA32249223 | MEDICARE PIN | SC | |
| P00834834 | Other (non-Medicare) | SC | Railroad Medicare ID-RSFPN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1483 TOBIAS GADSON BLVD STE 101,
CHARLESTON, SC, 29407-4795
United States | CHARLESTON, SC | 843-405-1110 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | direct@direct.musc.edu
| No affiliation | HIE
Health Information Exchange (HIE)
|
| 171 Ashley Ave,
Charleston, SC, 29425-4795
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 171 Ashley Ave
Charleston, SC, 29425-4795
United States |
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| Phone Number : | 843-792-1414 |
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Business Location:
Patients can refer following map for directions to
Dr. Matthew Justice Kornegay practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.