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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PATRICIA JANE MATTINGLY MD
NPI 1164714788
Obstetrics & Gynecology in Lithonia, GA

Active since May 16, 2011PECOS Enrolled
5440 HILLANDALE DR, LITHONIA, GA 30058(404) 365-0966 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Sep 20, 2018, Aug 20, 2018 (3 updates tracked since 2018).

About Dr. Patricia Jane Mattingly Md NPPES

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

DR. PATRICIA JANE MATTINGLY MD (NPI 1164714788) is an individual obstetrics & gynecology provider in Lithonia, Georgia, licensed in Georgia (90984) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2011).

NPPES Registry Identity

NPI1164714788
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PATRICIA JANE MATTINGLYCredential: MD
Location Address5440 HILLANDALE DRLithonia, GA 30058-4865
Mailing Address5440 Hillandale DrLithonia, GA 30058-4865 · (404) 365-0966
Phone(404) 365-0966
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1164714788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in GA · 90984✔ Licensed in FL · ME124636✔ Licensed in NC · 2018-01327
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5440 HILLANDALE DR, Lithonia, GA 30058
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patricia Jane Mattingly Md 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 ID6901113893
PECOS Enrollment IDI20240424003363
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

2

Medicare enrollment records show Patricia Mattingly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Southeast Permanente Medical Group
16 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Temple Faculty Practice Plan Inc
660 mi
Family Medicine
1700 N BROAD ST
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1487136495 (215) 204-2679

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

DR. ERIC WILSON MD
Family Medicine
5440 HILLANDALE DR, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058
Dekalb County (770) 322-2777
DR. AMY MARIE SCHLABACH PHARMD
Pharmacist
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
RICIA TAYLOR RD/N, LD, CDE
Dietitian, Registered
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (770) 322-3210
MRS. SHARON JACKSON WHITE F.N.P.
Nurse Practitioner (Family)
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
DR. JESSICA NKECHIYERE ORDU MD
Student in an Organized Health Care Education/Training Program
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
MRS. RUMBIDZAI CUNNINGHAM FNP-C
Nurse Practitioner (Obstetrics & Gynecology)
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 364-7285
GUILLERMO F VALLS MD
Obstetrics & Gynecology
5440 HILLANDALE DR, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
LITHONIA, GA 30058
Dekalb County (770) 322-2716
CHARMAINE GRAY MD
Pediatrics
5440 HILLANDALE DR, PEDIATRICS HEALTH CARE TEAM A
LITHONIA, GA 30058
Dekalb County (770) 322-2712

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 Patricia Mattingly's NPI number?

The NPI number for Patricia Mattingly is 1164714788. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Patricia Mattingly located?

Patricia Mattingly practices at 5440 Hillandale Dr, Lithonia, GA 30058. The listed phone number is (404) 365-0966.

What is Patricia Mattingly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Patricia Mattingly enrolled in Medicare?

Yes. Patricia Mattingly 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.

Which organizations bill Medicare for Patricia Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Mattingly reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Temple Faculty Practice Plan Inc (Philadelphia, PA). 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 Patricia Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patricia Mattingly was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.