1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Physician Assistant
  6. NPI Profile

TESSA DAVENPORT MATA PA-C
NPI 1760021950
Physician Assistant in Jacksonville, FL

Active since January 05, 2020
7017 A C SKINNER PKWY, JACKSONVILLE, FL 32256(904) 520-6800 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2020, Jan 5, 2020 (2 updates tracked since 2020).

About Tessa Davenport Mata Pa-c NPPES

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

TESSA DAVENPORT MATA PA-C (NPI 1760021950) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9112681) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1760021950
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTESSA DAVENPORT MATACredential: PA-C
Location Address7017 A C SKINNER PKWYJacksonville, FL 32256-6932
Mailing Address7017 A C Skinner PkwyJacksonville, FL 32256-6932 · (904) 520-6800
Phone(904) 520-6800
Sole ProprietorYes
Enumeration DateJanuary 5, 2020
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
✔ NPI 1760021950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112681
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7017 A C SKINNER PKWY, Jacksonville, FL 32256
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

FLORIDA PHYSICIAN SPECIALISTS LLC
Radiology (Radiation Oncology)
7017 A C SKINNER PKWY
JACKSONVILLE, FL 32256
Duval County (904) 520-6800
BAYLI BRIANA WALDROUP
Physician Assistant
7017 A C SKINNER PKWY
JACKSONVILLE, FL 32256
Duval County (813) 401-0628

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 Tessa Mata's NPI number?

The NPI number for Tessa Mata is 1760021950. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Where is Tessa Mata located?

Tessa Mata practices at 7017 A C Skinner Pkwy, Jacksonville, FL 32256. The listed phone number is (904) 520-6800.

What is Tessa Mata's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tessa Mata was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.