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DR. KELLY DAWN MATTIX MD
NPI 1063685956
Surgery - Pediatric Surgery in Temple, TX

Active since April 11, 2008PECOS Enrolled
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502(254) 724-5437 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2023, Apr 27, 2021, May 17, 2019 (3 updates tracked since 2019).

About Dr. Kelly Dawn Mattix Md NPPES

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

DR. KELLY DAWN MATTIX MD (NPI 1063685956) is an individual pediatric surgery provider in Temple, Texas, licensed in Arkansas (E-17038) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springdale.

NPPES Registry Identity

NPI1063685956
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KELLY DAWN MATTIXCredential: MD
Location Address1901 SW H K DODGEN LOOPTemple, TX 76502-1814
Mailing AddressPo Box 844568Dallas, TX 75284-4658
Phone(254) 724-5437
Sole ProprietorYes
Enumeration DateApril 11, 2008
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1063685956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in AR · E-17038✔ Licensed in TX · N7560
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License E-17038 (AR)
1901 SW H K DODGEN LOOP, Temple, TX 76502
Open in Google Maps ↗

Secondary Practice Location 1

Location 12601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 725-6800 · Fax (479) 725-6582

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Dawn Mattix Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MS. GINA MARIE HEISS HARRIS RNC, NNP
Nurse Practitioner (Neonatal, Critical Care)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-5437
VAN STEVEN MASK M.D.
Emergency Medicine (Emergency Medical Services)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 771-8600
DR. MADHAVA REDDY BEERAM M.D.
Pediatrics
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 935-4000
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Pharmacy (Community/Retail Pharmacy)
1901 SW H K DODGEN LOOP, BUILDING 300
TEMPLE, TX 76502
Bell County (254) 935-4888
MARIE ALLYSON MANNING MD
Emergency Medicine
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-5437
KING'S DAUGHTERS HOSPITAL ASSOCIATION
Skilled Nursing Facility
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 771-8600
EDWIN HERNANDEZ CARO MD
Pediatrics (Pediatric Pulmonology)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-5437
TRACI BARTZ OTR
Occupational Therapist (Pediatrics)
1901 SW H K DODGEN LOOP
TEMPLE, TX 76502
Bell County (254) 724-2111

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 Kelly Mattix's NPI number?

The NPI number for Kelly Mattix is 1063685956. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Where is Kelly Mattix located?

Kelly Mattix practices at 1901 SW H K Dodgen Loop, Temple, TX 76502. The listed phone number is (254) 724-5437.

What is Kelly Mattix's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kelly Mattix enrolled in Medicare?

Yes. Kelly Mattix is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Mattix accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Kelly Mattix as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Mattix was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.