MR. MARC ANDREW MATTISON P.A.
NPI 1780761825
Physician Assistant - Medical in Plant City, FL

Q: What is Marc Mattison's NPI number?

The NPI number for Marc Mattison is 1780761825. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Marc Mattison's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Marc Mattison was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

228 W ALEXANDER ST, PLANT CITY, FL 33563(813) 754-5480(877) 285-9902 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Mar 12, 2025, Dec 5, 2021 and 2 more (5 updates tracked since 2019).

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About Mr. Marc Andrew Mattison P.a. NPPES

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

MR. MARC ANDREW MATTISON P.A. (NPI 1780761825) is an individual medical provider in Plant City, Florida, licensed in Florida (PA9102918) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780761825

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MARC ANDREW MATTISONCredential: P.A.

Location Address228 W ALEXANDER STPlant City, FL 33563-7157

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · Fax (813) 876-4997

Phone(813) 754-5480

Fax(877) 285-9902

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 1, 2006

Last NPPES UpdateMarch 25, 20265 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1780761825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9102918

228 W ALEXANDER ST, Plant City, FL 33563

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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 and accepts Medicare assignment

Mr. Marc Andrew Mattison P.a. 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 ID2961412689

PECOS Enrollment IDI20060426000210

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.

Other Providers at the Same Location NPPES 14

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

MISS KARINA DOLLY ESCUDERO CHU MD

General Practice