MR. BYRON TYRELL MATHIS PA-C NPI 1578038337

NPI Information

  • NPI: 1578038337
  • Provider Name: MR. BYRON TYRELL MATHIS, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4720 WASHINGTON RD
    EVANS, GA
    ZIP 30809
  • Phone: (706) 650-0111

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NPI Details

MR. Byron Tyrell Mathis, PA-C is a physician assistant in Evans, GA with 8 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Byron Tyrell Mathis, PA-C NPI is 1578038337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4720 WASHINGTON RD
EVANS, GA
ZIP 30809-875
Phone: (706) 650-0111
Fax: (706) 651-1882

The NPI 1578038337 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Test to assess middle ear function (HCPCS:92567)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Removal of impacted ear wax (HCPCS:69210)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Exam of ear using a microscope (HCPCS:92504)
  • Ct scan of face without contrast (HCPCS:70486)

The enumeration date for this NPI number is 10/9/2018 and was last updated on 2/7/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical3107SOUTH CAROLINANo
2363A00000XPhysician Assistant9011GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13850PAMEDICAIDSOUTH CAROLINA

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: 11/21/2025

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