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IZABELLA MATATOVA
NPI 1306593751
Student in an Organized Health Care Education/Training Program in Suwanee, GA

Active since March 06, 2022PECOS Enrolled
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 225-7500 Get Directions Write a Review

NPPES record last updated: March 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Izabella Matatova NPPES

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

IZABELLA MATATOVA (NPI 1306593751) is an individual student in an organized health care education/training program in Suwanee, Georgia and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306593751
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIZABELLA MATATOVA
Location Address625 OLD PEACHTREE RD NWSuwanee, GA 30024-2937
Mailing Address625 Old Peachtree Rd NwSuwanee, GA 30024-2937 · (678) 225-7500
Phone(678) 225-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 6, 2022
NPPES CertifiedFebruary 19, 2022
✔ NPI 1306593751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
625 OLD PEACHTREE RD NW, Suwanee, GA 30024
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Izabella Matatova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234641093
PECOS Enrollment IDI20250626000598
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.

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.

HA NGUYEN
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
CARRIE SMITH NOLD PA-C
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (770) 682-2362
DR. KRISTIE PETREE D.O.
Neuromusculoskeletal Medicine & OMM
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (517) 432-6144
VANESSA PETER
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
JAD ELKHALIL
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
DR. JENNIFER ANN SHANNON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 407-7369
NYCE KEIYORO
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
CAROLINE KIM
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500

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 Izabella Matatova's NPI number?

The NPI number for Izabella Matatova is 1306593751. It was assigned to this individual provider in the NPPES registry on March 6, 2022.

Where is Izabella Matatova located?

Izabella Matatova practices at 625 Old Peachtree Rd NW, Suwanee, GA 30024. The listed phone number is (678) 225-7500.

What is Izabella Matatova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Izabella Matatova enrolled in Medicare?

Yes. Izabella Matatova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Izabella Matatova was last updated on March 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.