| Gregory J Matechak, MD | |
|
1650 Chattahoochee Dr, Rockmart, GA 30153-2023 | |
| (770) 684-6100 | |
| (770) 684-7522 |
| Full Name | Gregory J Matechak |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 1650 Chattahoochee Dr, Rockmart, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851492672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52992 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Wellstar Paulding Hospital | Hiram, GA | Hospital |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Kennesaw Mountain Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235378324 PECOS PAC ID: 0749328524 Enrollment ID: O20091116000490 |
| Entity Name | Bold Legacy Practice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972212116 PECOS PAC ID: 5799140430 Enrollment ID: O20230502000666 |
| Entity Name | Bold Primary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275300287 PECOS PAC ID: 6406298249 Enrollment ID: O20240524002775 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory J Matechak, MD 420 E 2nd Ave, Suite 103, Rome, GA 30161-3209 Ph: (706) 509-3278 | Gregory J Matechak, MD 1650 Chattahoochee Dr, Rockmart, GA 30153-2023 Ph: (770) 684-6100 |
Danielle Yvonne Epanchin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Chattahoochee Dr, Rockmart, GA 30153 Phone: 770-684-7846 | |
Terrell Jenrette, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Chattahoochee Dr, Rockmart, GA 30153 Phone: 770-684-7846 | |
Mary F. Dailey-smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 N Piedmont Ave, Rockmart, GA 30153 Phone: 770-684-6100 Fax: 770-684-8294 | |
Dr. Umpon Sangmalee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 826 C West Elm St, Rockmart, GA 30153 Phone: 770-684-5348 Fax: 770-684-5349 |