STEPHANIE L MATHIS FNP-C
NPI 1730330101
Nurse Practitioner - Family in Kennesaw, GA

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
750 TOWNPARK LAKE, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144(770) 514-5401 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2022, Sep 1, 2016 (2 updates tracked since 2016).

About Stephanie L Mathis Fnp-c NPPES

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

STEPHANIE L MATHIS FNP-C (NPI 1730330101) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (115936) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1730330101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE L MATHISCredential: FNP-C
Location Address750 TOWNPARK LAKE, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTERKennesaw, GA 30144
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 504-5678
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 3, 2008
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
NPI 1730330101 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 · 115936
750 TOWNPARK LAKE, Kennesaw, GA 30144

Other Names 1

Former Name (1)Stephanie Williams

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 and accepts Medicare assignment

Stephanie L Mathis Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123097037
PECOS Enrollment IDI20040928000617
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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 Stephanie Mathis's NPI number?

The NPI number for Stephanie Mathis is 1730330101. It was assigned to this individual provider in the NPPES registry on October 3, 2008. The provider is also known as Stephanie Williams.

Where is Stephanie Mathis located?

Stephanie Mathis practices at 750 Townpark Lake Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144. The listed phone number is (770) 514-5401.

What is Stephanie Mathis's specialty?

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

Is Stephanie Mathis enrolled in Medicare?

Yes. Stephanie Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Mathis accept?

Health plans from CareSource list Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Mathis was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.