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LAUREN MATHIS N.P. NPI 1740729516


NPI Information

NPI: 1740729516
Provider Name: LAUREN MATHIS, N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
411 TOWN PARK BLVD
EVANS, GA
ZIP 30809
Phone: (706) 854-2500
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Lauren Mathis, N.P. is a pediatrics nurse practitioner in Evans, GA. Lauren Mathis, N.P. NPI is 1740729516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

411 TOWN PARK BLVD
EVANS, GA
ZIP 30809-487
Phone: (706) 854-2500
Fax: (706) 854-2559

The NPI 1740729516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 1/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsRN214012GEORGIANo
2363L00000XNurse PractitionerRN214012GEORGIANo
3363LP0200XNurse PractitionerPediatricsRN214012GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003187586DMEDICAIDGEORGIA
2003187586EMEDICAIDGEORGIA
3003187586FMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.