MR. MATTHEW HENDERSON (FNP-C) – Nurse Practitioner, NPI 1013568740

MR. MATTHEW HENDERSON (FNP-C) is a healthcare provider. based in Carrollton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN239465 (GA). The NPI Number for MR. MATTHEW HENDERSON (FNP-C) is 1013568740

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW HENDERSON (FNP-C)
NPI
1013568740
Phone
Not provided
Address
227 KRAMER ST
Enumeration Date
24 September 2019
Last Update Date
24 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708340873
Graduation Year
2018 (8 years ago)
PAC ID
6608201843
Group Practice PAC ID
7810989183
Professional Enrollment ID
I20200116002497
Address ID
GA301174498CA150XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MR. MATTHEW HENDERSON (FNP-C)

  • 227, Kramer Street, Carrollton, Carroll County, Georgia, 30117, United States

    CARROLLTON, GA 301173705

    Phone:

    Type: Mailing

  • 101, Clinic Avenue, Carrollton, Carroll County, Georgia, 30117, United States

    CARROLLTON, GA 301174402

    Phone: (770) 834-0873

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($44).

Total Amount

$119

General + Research + Ownership

Payments

6

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200116002497INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes370244$0
J1040Injection, methylprednisolone acetate, 80 mg268157$0
20610Aspiration and/or injection of fluid from large joint164105$0
J1885Injection, ketorolac tromethamine, per 15 mg9859$0
J1030Injection, methylprednisolone acetate, 40 mg7968$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810989183View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
Orthopedic SurgeryMS
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Nurse PractitionerGA
Orthopedic SurgeryGA
Orthopedic SurgeryMI
Orthopedic SurgeryGA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Where can patients find MR. MATTHEW HENDERSON (FNP-C)'s NPI?
You can confirm MR. MATTHEW HENDERSON (FNP-C) with NPI 1013568740; it appears in the national provider directory.
Is MR. MATTHEW HENDERSON (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. MATTHEW HENDERSON (FNP-C) treat or focus on?
Patients typically see MR. MATTHEW HENDERSON (FNP-C) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. MATTHEW HENDERSON (FNP-C)'s primary listing?
We display Carrollton, Georgia because that is what the record indicates for MR. MATTHEW HENDERSON (FNP-C).
Is MR. MATTHEW HENDERSON (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1013568740. Always confirm identity and privileges with the practice and licensing boards.

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