MS. JESSICA NICOLE MATHIS FNP-C
NPI 1235511338
Nurse Practitioner in Fayetteville, GA

Q: What is Jessica Mathis's NPI number?

The NPI number for Jessica Mathis is 1235511338. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Q: What is Jessica Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mathis was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 24, 2015

132 OLD NORTON RD, SUITE 200, FAYETTEVILLE, GA 30215(678) 817-1117(678) 817-0823 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2020, May 8, 2020, Jan 13, 2017 (3 updates tracked since 2017).

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About Ms. Jessica Nicole Mathis Fnp-c NPPES

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

MS. JESSICA NICOLE MATHIS FNP-C (NPI 1235511338) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (RN164716) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1235511338

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. JESSICA NICOLE MATHISCredential: FNP-C

Location Address132 OLD NORTON RD, SUITE 200Fayetteville, GA 30215-4872

Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (678) 817-1117 · Fax (678) 817-0823

Phone(678) 817-1117

Fax(678) 817-0823

Sole ProprietorNo

Enumeration DateJune 24, 2015

Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration

NPPES CertifiedAugust 19, 2020

✔ NPI 1235511338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN164716

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN164716 (GA)

132 OLD NORTON RD, Fayetteville, GA 30215

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Other Identifiers 1

Medicaid003169046BGA

Other Providers at the Same Location NPPES 5

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

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