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DR. BENJAMIN KEITH MATTOX PA-C, DRPH
NPI 1669725644
Physician Assistant - Surgical in Pensacola, FL

Active since October 16, 2012PECOS Enrolled
220 HOVEY RD, PENSACOLA, FL 32508(571) 435-0134 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Oct 12, 2022, Aug 3, 2022 (3 updates tracked since 2022).

About Dr. Benjamin Keith Mattox Pa-c, Drph NPPES

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

DR. BENJAMIN KEITH MATTOX PA-C, DRPH (NPI 1669725644) is an individual surgical provider in Pensacola, Florida, licensed in California (61454) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669725644
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDR. BENJAMIN KEITH MATTOXCredential: PA-C, DRPH
Location Address220 HOVEY RDPensacola, FL 32508-1044
Mailing Address220 Hovey RdPensacola, FL 32508-1044
Phone(571) 435-0134
Sole ProprietorNo
Enumeration DateOctober 16, 2012
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1669725644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · 61454
Also ListedPhysician AssistantTaxonomy 363A00000X · License 61454 (CA), 0110005055 (VA)
220 HOVEY RD, Pensacola, FL 32508
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Secondary Practice Locations 2

Location 1200 Mercy CircleCamp Pendleton, CA 92055 · Phone (760) 725-1288
Location 227001 Moulton Pkwy Ste A102Laguna Hills, CA 92656-3626 · Phone (949) 244-0304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Keith Mattox Pa-c, Drph 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.

Areas of Expertise CMS Part B claims

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.

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.
21 services21 patients

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.

CARRIE HILL KENNEDY PH.D.
Psychologist (Clinical)
220 HOVEY RD, NAVAL OPERATIONAL MEDICINE INSTITUTE
PENSACOLA, FL 32508
Escambia County (850) 452-2257
DR. ANDREW JAMES MEDENBACH D.O.
Emergency Medicine
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (850) 452-9484
DR. CAROLINE M MCDOWELL MD
General Practice
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (850) 452-8125
MANELISI VICTOR NHLIZIYO MD
General Practice
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (419) 980-9107
DR. EDWIN Y. PARK MD
Psychiatry & Neurology (Neurology)
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (850) 452-2839
DR. ALEX THOMAS PIEKARCZYK MD
General Practice
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (850) 452-9484
MICHAEL T O'LEARY PA-C
Physician Assistant
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (850) 452-4554
CLARK NOBLE
Psychiatry & Neurology (Psychiatry)
220 HOVEY RD
PENSACOLA, FL 32508
Escambia County (850) 452-9484

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 Benjamin Mattox's NPI number?

The NPI number for Benjamin Mattox is 1669725644. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Benjamin Mattox located?

Benjamin Mattox practices at 220 Hovey Rd, Pensacola, FL 32508. The listed phone number is (571) 435-0134.

What is Benjamin Mattox's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Benjamin Mattox enrolled in Medicare?

Yes. Benjamin Mattox is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Mattox was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.