TYLER AUSTIN MATTAS
NPI 1750016986
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA

Active since July 21, 2022
3280 MITCHELL BLVD, MOODY AFB, GA 31699(520) 861-6058 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Tyler Austin Mattas NPPES

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

TYLER AUSTIN MATTAS (NPI 1750016986) is an individual independent duty medical technicians provider in Moody Afb, Georgia and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1750016986
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameTYLER AUSTIN MATTAS
Location Address3280 MITCHELL BLVDMoody Afb, GA 31699-9402
Mailing Address8246 Knights WayMoody Afb, GA 31699-1800 · (229) 257-2778
Sole ProprietorNo
Enumeration DateJuly 21, 2022
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1750016986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
3280 MITCHELL BLVD, Moody Afb, GA 31699

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.

Military Health Care Provider (Independent Duty Medical Technicians)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Counselor (Mental Health)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist (General Practice)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3280 MITCHELL BLVD
MOODY AFB, GA 31699
Specialist/Technologist (Athletic Trainer)
3280 MITCHELL BLVD
MOODY AFB, GA 31699

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 Tyler Mattas's NPI number?

The NPI number for Tyler Mattas is 1750016986. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Tyler Mattas located?

Tyler Mattas practices at 3280 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (520) 861-6058.

What is Tyler Mattas's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Tyler Mattas was last updated on October 5, 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.