HEATHER MARIE MATHIS FNP-C
NPI 1639470206
Nurse Practitioner - Family in Mcdonough, GA

Active since November 12, 2010
80 CANDLER RD, MCDONOUGH, GA 30253(678) 432-8811 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2025, Mar 14, 2019 (2 updates tracked since 2019).

About Heather Marie Mathis Fnp-c NPPES

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

HEATHER MARIE MATHIS FNP-C (NPI 1639470206) is an individual family provider in Mcdonough, Georgia, licensed in Georgia (RN149754NP) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1639470206
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER MARIE MATHISCredential: FNP-C
Location Address80 CANDLER RDMcdonough, GA 30253-5455
Mailing Address80 Candler RdMcdonough, GA 30253-5455
Sole ProprietorNo
Enumeration DateNovember 12, 2010
Last NPPES UpdateOctober 12, 20252 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
NPI 1639470206 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 · RN149754NP
80 CANDLER RD, Mcdonough, GA 30253

Other Identifiers 1

Medicaid003113176AGA

Other Providers at the Same Location NPPES

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

Hospice Care, Community Based
80 CANDLER RD
MCDONOUGH, GA 30253

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639470206, enumerated as an "individual" on November 12, 2010.

The provider is located at 80 CANDLER RD MCDONOUGH, GA 30253 and the phone number is (678) 432-8811.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.