KENDIA MATHIEU
NPI 1487493334
Nurse Practitioner - Family in Lawrenceville, GA

Q: What is Kendia Mathieu's NPI number?

The NPI number for Kendia Mathieu is 1487493334. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Kendia Mathieu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendia Mathieu was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 21, 2024PECOS Enrolled

1495 DULUTH HWY, STE F PMB 134, LAWRENCEVILLE, GA 30043(678) 242-9560 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kendia Mathieu NPPES

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

KENDIA MATHIEU (NPI 1487493334) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN242351) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487493334

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENDIA MATHIEU

Location Address1495 DULUTH HWY, STE F PMB 134Lawrenceville, GA 30043

Mailing Address1495 Duluth Hwy, Ste F Pmb 134Lawrenceville, GA 30043 · (678) 242-9560

Phone(678) 242-9560

Sole ProprietorYes

Enumeration DateMay 21, 2024

NPPES CertifiedMay 19, 2024

✔ NPI 1487493334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN242351

1495 DULUTH HWY, Lawrenceville, GA 30043

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignment

Medicare enrollment records show Kendia Mathieu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promed Preferred Ga 2 Professional Corporation

742 mi

Internal Medicine

5 SIGET CT., #202
Monroe, NY 10950

Reassigned Medicare billing, Georgia enrollment

NPI 1033934542 (615) 499-3165

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 30043 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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 Kendia Mathieu's NPI number?

The NPI number for Kendia Mathieu is 1487493334. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Kendia Mathieu located?

Kendia Mathieu practices at 1495 Duluth Hwy Ste F Pmb 134, Lawrenceville, GA 30043. The listed phone number is (678) 242-9560.

What is Kendia Mathieu's specialty?

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

Is Kendia Mathieu enrolled in Medicare?

Yes. Kendia Mathieu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendia Mathieu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendia Mathieu reassigns Medicare benefits to Promed Preferred Ga 2 Professional Corporation (Monroe, NY). 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 Kendia Mathieu'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 Kendia Mathieu was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.