PERTNIESHA MATHIS
NPI 1104776475
Technician, Pathology - Phlebotomy in Jacksonville, FL

Q: What is Pertniesha Mathis's NPI number?

The NPI number for Pertniesha Mathis is 1104776475. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Q: What is Pertniesha Mathis's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Q: When was this NPI record last updated?

The NPPES record for Pertniesha Mathis was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 28, 2026

5501 WESCONNETT BLVD # 7553, JACKSONVILLE, FL 32244(904) 598-9431 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pertniesha Mathis NPPES

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

PERTNIESHA MATHIS (NPI 1104776475) is an individual phlebotomy provider in Jacksonville, Florida, licensed in Florida (S4X6C2P4) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1104776475

Entity TypeIndividualFemale

Primary Taxonomy246RP1900X

Provider Legal NamePERTNIESHA MATHIS

Location Address5501 WESCONNETT BLVD # 7553Jacksonville, FL 32244-1908

Mailing Address5501 Wesconnett Blvd # 7553Jacksonville, FL 32244-1908

Phone(904) 598-9431

Sole ProprietorNo

Enumeration DateJanuary 28, 2026

NPPES CertifiedJanuary 28, 2026

✔ NPI 1104776475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246RP1900X

License✔ Licensed in FL · S4X6C2P4

5501 WESCONNETT BLVD # 7553, Jacksonville, FL 32244

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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 Pertniesha Mathis's NPI number?

The NPI number for Pertniesha Mathis is 1104776475. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Pertniesha Mathis located?

Pertniesha Mathis practices at 5501 Wesconnett Blvd # 7553, Jacksonville, FL 32244. The listed phone number is (904) 598-9431.

What is Pertniesha Mathis's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Pertniesha Mathis was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.