MRS. ERICA MONIQUE MATTOX P.T.
NPI 1083804363
Specialist in Lithonia, GA

Active since August 01, 2007Accepts Medicare Assignment
1450 BENTLEY RIDGE CT, LITHONIA, GA 30058(678) 640-9045(770) 484-8534 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Erica Monique Mattox P.t. NPPES

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

MRS. ERICA MONIQUE MATTOX P.T. (NPI 1083804363) is an individual specialist in Lithonia, Georgia, licensed in Georgia (004280) and active in the NPI registry since August 2007. She is a graduate of Other (1993).

NPPES Registry Identity

NPI1083804363
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. ERICA MONIQUE MATTOXCredential: P.T.
Location Address1450 BENTLEY RIDGE CTLithonia, GA 30058-5677
Mailing Address1450 Bentley Ridge CtLithonia, GA 30058-5677 · (678) 640-9045 · Fax (770) 484-8534
Fax(770) 484-8534
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 1, 2007
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1083804363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 004280
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysical TherapistTaxonomy 225100000X · License 04280 (GA)
1450 BENTLEY RIDGE CT, Lithonia, GA 30058

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Erica Monique Mattox P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678083987
PECOS Enrollment IDI20250606001008

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 Erica Mattox's NPI number?

The NPI number for Erica Mattox is 1083804363. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Erica Mattox located?

Erica Mattox practices at 1450 Bentley Ridge Ct, Lithonia, GA 30058. The listed phone number is (678) 640-9045.

What is Erica Mattox's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Erica Mattox enrolled in Medicare?

Yes. Erica Mattox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Erica Mattox was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.