MARY MELISSA MATHES FNP
NPI 1235824160
Nurse Practitioner - Family in Carrollton, GA

Active since April 06, 2023PECOS EnrolledAccepts Medicare Assignment
794 S PARK ST, CARROLLTON, GA 30117(404) 948-3019 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Mary Melissa Mathes Fnp NPPES

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

MARY MELISSA MATHES FNP (NPI 1235824160) is an individual family provider in Carrollton, Georgia, licensed in Georgia (RN183524) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lagrange, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235824160
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MELISSA MATHESCredential: FNP
Location Address794 S PARK STCarrollton, GA 30117-3826
Mailing Address571 Parks RdSharpsburg, GA 30277-3314 · (706) 523-1377
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 6, 2023
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1235824160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN183524
Also ListedNurse PractitionerTaxonomy 363L00000X · License 183524 (GA)
794 S PARK ST, Carrollton, GA 30117

Secondary Practice Location 1

Location 1505 Jenkins StLaGrange, GA 30240-4225 · Phone (706) 407-0161

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

Mary Melissa Mathes Fnp 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 ID2062878077
PECOS Enrollment IDI20230517002799
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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 8

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

Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Nurse Practitioner
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117
Pharmacy
794 S PARK ST
CARROLLTON, GA 30117
Pharmacist
794 S PARK ST
CARROLLTON, GA 30117

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 Mary Mathes's NPI number?

The NPI number for Mary Mathes is 1235824160. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Mary Mathes located?

Mary Mathes practices at 794 S Park St, Carrollton, GA 30117. The listed phone number is (404) 948-3019.

What is Mary Mathes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Mathes enrolled in Medicare?

Yes. Mary Mathes 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 Mary Mathes was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.