JODY KAYE MATLOCK MPA-C
NPI 1013946342
Physician Assistant in Monroe, NC

Active since June 30, 2006
1107 REYNOLDS ST, MONROE, NC 28112(704) 289-8220(704) 289-9195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jody Kaye Matlock Mpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY KAYE MATLOCK MPA-C (NPI 1013946342) is an individual physician assistant in Monroe, North Carolina, licensed in North Carolina (103793) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013946342
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJODY KAYE MATLOCKCredential: MPA-C
Location Address1107 REYNOLDS STMonroe, NC 28112-4351
Mailing Address1107 Reynolds StMonroe, NC 28112-4351 · (704) 289-8220 · Fax (704) 289-9195
Fax(704) 289-9195
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013946342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103793
Definition
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.
1107 REYNOLDS ST, Monroe, NC 28112

Other Identifiers 2

Medicare UPINQ00991NC
Medicare ID-Type Unspecified2759560NC

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1107 REYNOLDS ST
MONROE, NC 28112
Physician Assistant
1107 REYNOLDS ST
MONROE, NC 28112
Audiologist
1107 REYNOLDS ST
MONROE, NC 28112
Audiologist
1107 REYNOLDS ST
MONROE, NC 28112
Nurse Practitioner
1107 REYNOLDS ST
MONROE, NC 28112
Audiologist
1107 REYNOLDS ST
MONROE, NC 28112
Specialist
1107 REYNOLDS ST
MONROE, NC 28112
Otolaryngology (Facial Plastic Surgery)
1107 REYNOLDS ST
MONROE, NC 28112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Matlock's NPI number?

The NPI number for Jody Matlock is 1013946342. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jody Matlock located?

Jody Matlock practices at 1107 Reynolds St, Monroe, NC 28112. The listed phone number is (704) 289-8220.

What is Jody Matlock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jody Matlock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.