Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew Daniel Powellson, MD

Individual provider Pediatrics Physician · NPI 1336345487

Dr. Matthew Daniel Powellson, MD is a Pediatric Medicine in Statesboro, Georgia. Graduated from Indiana University School of Medicine in 2007, 19 years ago. Practices with Woodlands Family Practice PA, a 3-clinician group. Licensed in Georgia.

Years since qualifying
19
Trained at
Indiana University School of Medicine
Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1310 Brampton Ave
Statesboro, GA 30458-0851
Phone: (912) 486-1873
Fax: (912) 486-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 066402 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 066402 (GA)

Record details

NPI number1336345487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESAugust 26, 2014
Mailing address1449 Brampton Ave, Statesboro, GA 30458-0854

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Woodlands Family Practice Pa — 3 clinicians
Accepts Medicare assignment Not indicated

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