KALIE DEANN MATHIS NP-C
NPI 1679248124
Nurse Practitioner in Waycross, GA

Active since August 16, 2021PECOS Enrolled
505 CITY BLVD, WAYCROSS, GA 31501(912) 490-2229 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kalie Deann Mathis Np-c NPPES

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

KALIE DEANN MATHIS NP-C (NPI 1679248124) is an individual nurse practitioner in Waycross, Georgia, licensed in Georgia (RN279071) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Satilla Health, and maintains a secondary practice location in Waycross.

NPPES Registry Identity

NPI1679248124
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALIE DEANN MATHISCredential: NP-C
Location Address505 CITY BLVDWaycross, GA 31501-8003
Mailing Address360 E Washington DrWaycross, GA 31503-0680 · (912) 548-4230
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2021
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1679248124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN279071
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN279071 (GA)
505 CITY BLVD, Waycross, GA 31501

Secondary Practice Location 1

Location 11701 Boulevard Sq Ste DWaycross, GA 31501-8022 · Phone (912) 387-0445 · Fax (912) 226-3513

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kalie Deann Mathis Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173979192
PECOS Enrollment IDI20231027001457
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Satilla Health

Acute Care Hospitals · Waycross, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110003
Location1900 Tebeau StreetWaycross, GA 31501 · Ware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
505 CITY BLVD
WAYCROSS, GA 31501
Nurse Practitioner
505 CITY BLVD
WAYCROSS, GA 31501
Advanced Practice Midwife
505 CITY BLVD
WAYCROSS, GA 31501
Obstetrics & Gynecology
505 CITY BLVD
WAYCROSS, GA 31501
Obstetrics & Gynecology
505 CITY BLVD
WAYCROSS, GA 31501

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 Kalie Mathis's NPI number?

The NPI number for Kalie Mathis is 1679248124. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Kalie Mathis located?

Kalie Mathis practices at 505 City Blvd, Waycross, GA 31501. The listed phone number is (912) 490-2229.

What is Kalie Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kalie Mathis enrolled in Medicare?

Yes. Kalie Mathis is registered in the Medicare PECOS enrollment system.

What insurance does Kalie Mathis accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kalie Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kalie Mathis affiliated with any hospitals?

According to CMS data, Kalie Mathis is affiliated with Memorial Satilla Health.

When was this NPI record last updated?

The NPPES record for Kalie Mathis was last updated on September 12, 2023. 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.