Healthcare Provider Details

I. General information

NPI: 1164950937
Provider Name (Legal Business Name): MATTHEW DUNSMUIR CAWLEY APRN, AGPCNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 PIPEMAKERS CIR STE 100
POOLER GA
31322-4164
US

IV. Provider business mailing address

118 PIPEMAKERS CIR STE 100
POOLER GA
31322-4164
US

V. Phone/Fax

Practice location:
  • Phone: 800-678-4611
  • Fax: 800-549-7496
Mailing address:
  • Phone: 800-678-4611
  • Fax: 800-549-7496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN221627
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN221627
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: