MR. MATTHEW ELIJAH ILAO (FNP-C) – Family Nurse Practitioner, NPI 1255037701

MR. MATTHEW ELIJAH ILAO (FNP-C) is a healthcare provider. based in Dallas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 286403 (GA). The NPI Number for MR. MATTHEW ELIJAH ILAO (FNP-C) is 1255037701

Main info

Male
4 Years Of Experience
Name
MR. MATTHEW ELIJAH ILAO (FNP-C)
NPI
1255037701
Phone
(770) 685-9704
Address
467 ARROWHEAD DR
Enumeration Date
6 February 2023
Last Update Date
6 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9436523867
Professional Enrollment ID
I20230324002042
Address ID
GA303196408BR1001XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MR. MATTHEW ELIJAH ILAO (FNP-C)

  • 467 ARROWHEAD DR

    DALLAS, GA 301329477

    Phone: (770) 685-9704

    Type: Mailing

  • 433 HIGHLAND PKWY

    EAST ELLIJAY, GA 305407656

    Phone: (770) 737-2803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $670.

Total Amount is formed as General ($670) + Research ($0) + Ownership ($0) = $670.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($459).

Total Amount

$670

General + Research + Ownership

Payments

38

Total payment records

General Amount

$670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2023-03-24

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
I20230324002042INurse 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 minutes6046$0
99214Established patient office or other outpatient visit, 30-39 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 30132)

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Reviews

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Frequently asked questions

How is MR. MATTHEW ELIJAH ILAO (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists MR. MATTHEW ELIJAH ILAO (FNP-C) with NPI 1255037701.
Can I rely on MR. MATTHEW ELIJAH ILAO (FNP-C) being an active provider?
As of the registry snapshot, MR. MATTHEW ELIJAH ILAO (FNP-C) is marked active.
What taxonomy line describes MR. MATTHEW ELIJAH ILAO (FNP-C)?
For research purposes, treat MR. MATTHEW ELIJAH ILAO (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. MATTHEW ELIJAH ILAO (FNP-C) based?
MR. MATTHEW ELIJAH ILAO (FNP-C) is tied to Dallas, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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