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ANGELA FEAZEL MATTKE MD
NPI 1083672786
Emergency Medicine - Emergency Medical Services in Conyers, GA

Active since May 02, 2006PECOS Enrolled
1412 MILSTEAD AVE NE, CONYERS, GA 30012(770) 994-9326(770) 994-4747 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Angela Feazel Mattke Md NPPES

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

ANGELA FEAZEL MATTKE MD (NPI 1083672786) is an individual emergency medical services provider in Conyers, Georgia, licensed in Georgia (057540) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1083672786
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameANGELA FEAZEL MATTKECredential: MD
Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877
Mailing Address1745 Phoenix Blvd, Suite 100Atlanta, GA 30349-5591 · (770) 994-9326 · Fax (770) 994-4747
Phone(770) 994-9326
Fax(770) 994-4747
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 24, 2022
NPPES CertifiedMay 24, 2022
✔ NPI 1083672786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in GA · 057540
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.123208 (OH)
1412 MILSTEAD AVE NE, Conyers, GA 30012
Open in Google Maps ↗

Secondary Practice Location 1

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-8000 · Fax (614) 293-3124

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Feazel Mattke 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Angela Mattke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Physicians Of Estill County,pllc
277 mi
Emergency Medicine
60 MERCY CT
Irvine, KY 40336
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1407235666 (330) 493-4443
Emergency Medicine Physicians Of Cincinnati, Ltd.
381 mi
Emergency Medicine
3300 MERCY HEALTH BLVD
Cincinnati, OH 45211
  • Reassigned Medicare billing, Ohio enrollment
  • 166 clinicians in this Medicare group
NPI 1922483213 (330) 493-4443
Highland District Hospital
383 mi
Critical Access
1275 NORTH HIGH STREET
Hillsboro, OH 45133
  • Reassigned Medicare billing, Ohio enrollment
  • 30 clinicians in this Medicare group
NPI 1225053119 (937) 393-6100
Emergency Medicine Physicians Of Champaign County Ltd
431 mi
Emergency Medicine
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 97 clinicians in this Medicare group
NPI 1285078220 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
106 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services43 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WALKER LAKE PHYSICIAN SERVICES, PC
Hospitalist
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
DR. BABAJIDE O. FALANA M.D.
Internal Medicine
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
THI T. NGUYEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
ASHLEY MARIE MCGUIRE-TANKSLEY PA-C
Physician Assistant
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 922-4024
JAN DELROY JOHNSON NP
Nurse Practitioner (Family)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3754
DR. CLIFFORD N GROSSMAN MD
Radiology (Diagnostic Radiology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3000
KUSH SHARMA MD
Psychiatry & Neurology (Neurology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (470) 788-1010
DR. NEIL EDGERTON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Rockdale County (770) 918-3905

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 Angela Mattke's NPI number?

The NPI number for Angela Mattke is 1083672786. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Angela Mattke located?

Angela Mattke practices at 1412 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (770) 994-9326.

What is Angela Mattke's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Angela Mattke enrolled in Medicare?

Yes. Angela Mattke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angela Mattke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Mattke reassigns Medicare benefits to 4 organizations: Emergency Medicine Physicians Of Estill County,pllc (Irvine, KY), Emergency Medicine Physicians Of Cincinnati, Ltd. (Cincinnati, OH), Highland District Hospital (Hillsboro, OH) and Emergency Medicine Physicians Of Champaign County Ltd (Springfield, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Mattke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Mattke accept?

Health plans from CareSource list Angela Mattke 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 Angela Mattke was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.