MS. WHITNEY LOUISE MATHIS FNP-C
NPI 1417753310
Nurse Practitioner - Family in Augusta, GA
About Ms. Whitney Louise Mathis Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. WHITNEY LOUISE MATHIS FNP-C (NPI 1417753310) is an individual family provider in Augusta, Georgia, licensed in South Carolina (F12240020) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Whitney Louise Mathis Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Whitney Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90802
- Reassigned Medicare billing, South Carolina enrollment
- 96 clinicians in this Medicare group
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 30906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Whitney Mathis's NPI number?
The NPI number for Whitney Mathis is 1417753310. It was assigned to this individual provider in the NPPES registry on February 21, 2025.
Where is Whitney Mathis located?
Whitney Mathis practices at 2011 Windsor Spring Rd, Augusta, GA 30906. The listed phone number is (706) 798-1700.
What is Whitney Mathis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Whitney Mathis enrolled in Medicare?
Yes. Whitney Mathis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Whitney Mathis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Mathis reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). The 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 Whitney Mathis'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 Whitney Mathis was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Whitney Louise Mathis, FNP-C · NPI 1417753310
Family physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since February 21, 2025.
## Identity
- **NPI:** 1417753310 (Entity type: Individual)
- **Enumerated:** February 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F12240020 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2011 WINDSOR SPRING RD, Augusta, GA 30906-4957
- **Phone:** (706) 798-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1417753310) · Data from the CMS NPPES public registry.