Michael C Mattingly

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Michael C Mattingly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Michael C Mattingly
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Michael C Mattingly 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 :	401 Baptist Dr Ste 301 Madison, MS, 39110-2012 United States
Phone Number :	601-499-0935
Fax Number :	601-499-0935

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 :	1659549681
NPI Entity Type :	Individual
First Enrolment Date :	12 Feb, 2008
Last Updated On :	23 May, 2019

Medicare Participation:

Michael C Mattingly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4486883444
Medicare Enrollment ID :	I20190405000357
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Miami, Lm Miller School Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Michael C Mattingly accepts medicare insurance.

Group Practice Association:

Michael C Mattingly 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 Michael C Mattingly 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
Mississippi Center For Advanced Medicine, Pc	1951693282	8	401 Baptist Dr Suite 301 Madison, MS - 391102012 Ph: 6014990935	Yes

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 Michael C Mattingly are as mentioned. Primary taxonomy code for Michael C Mattingly, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	01064218A	IN
2080P0202X	Pediatrics Pediatric Cardiology	Yes	01064218A	IN

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 :	7731 Old Canton Rd Ste B Madison, MS, 39110-6115 United States
Phone Number :	601-499-0935
Fax Number :	601-499-0936

Business Location:

Patients can refer following map for directions to Michael C Mattingly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.