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JILL RAE MATTINGLY PA-C, MMSC
NPI 1770795361
Physician Assistant in Tucker, GA

Active since May 04, 2007PECOS Enrolled
4500 HUGH HOWELL RD, SUITE 340, TUCKER, GA 30084(678) 534-1715 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Rae Mattingly Pa-c, Mmsc NPPES

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

JILL RAE MATTINGLY PA-C, MMSC (NPI 1770795361) is an individual physician assistant in Tucker, Georgia, licensed in Georgia (3283) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770795361
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJILL RAE MATTINGLYCredential: PA-C, MMSC
Location Address4500 HUGH HOWELL RD, SUITE 340Tucker, GA 30084-4723
Mailing Address586 Mountain Park TrlStone Mountain, GA 30087-5709 · (770) 469-6903
Phone(678) 534-1715
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770795361 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 GA · 3283
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.
4500 HUGH HOWELL RD, Tucker, GA 30084
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Rae Mattingly Pa-c, Mmsc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 20

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

DR. BRUCE ALAN PRESTON D.M.D
Dentist (General Practice)
4500 HUGH HOWELL RD, SUITE 310
TUCKER, GA 30084
Dekalb County (770) 938-3311
DR. DENELLA LAZENBY AUSBORN PSY.D.
Psychologist (Clinical)
4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084
Dekalb County (770) 938-4616
LAFAYETTE MEDICAL AND ALTERNATIVE HEALTH
Nursing Facility/Intermediate Care Facility
4500 HUGH HOWELL RD, 320
TUCKER, GA 30084
Dekalb County (770) 621-9405
STEWART FAMILY PRACTICE, PC
Family Medicine
4500 HUGH HOWELL RD, STE 220
TUCKER, GA 30084
Dekalb County (770) 469-0668
DR. JOO-WON KIM DDS
Dentist (General Practice)
4500 HUGH HOWELL RD, SUITE 140
TUCKER, GA 30084
Dekalb County (770) 938-9090
DEIRDRE BONAPARTE MA, CCC-SLP
Speech-Language Pathologist
4500 HUGH HOWELL RD, SUITE 780
TUCKER, GA 30084
Dekalb County (678) 462-1342
THE AUC INSTITUTE FOR CAREER STUDIES, INC.
Preferred Provider Organization
4500 HUGH HOWELL RD, SUITE 380
TUCKER, GA 30084
Dekalb County (678) 388-9770
DR. WILLIE F AUSBORN PSY.D
Psychologist (Clinical)
4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084
Dekalb County (770) 938-4616

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 Jill Mattingly's NPI number?

The NPI number for Jill Mattingly is 1770795361. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Jill Mattingly located?

Jill Mattingly practices at 4500 Hugh Howell Rd Suite 340, Tucker, GA 30084. The listed phone number is (678) 534-1715.

What is Jill Mattingly's specialty?

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

Is Jill Mattingly enrolled in Medicare?

Yes. Jill Mattingly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Mattingly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.