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K-MATA LLC
NPI 1790655108
Family Medicine in Tucker, GA

Active since November 10, 2025
4292 CHAMBLEE TUCKER RD, TUCKER, GA 30084(770) 718-1517(770) 718-1518 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About K-mata Llc NPPES

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

K-MATA LLC (NPI 1790655108) is a healthcare organization registered as a family medicine in Tucker, Georgia and active in the NPI registry since November 2025. The organization lists Byron Oswaldo Mata Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1790655108
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameK-MATA LLC
Location Address4292 CHAMBLEE TUCKER RDTucker, GA 30084-2103
Mailing Address3899 Grassland LoopLake Mary, FL 32746-4120 · (770) 718-1517 · Fax (770) 718-1518
Phone(770) 718-1517
Fax(770) 718-1518
Organization SubpartNo
Authorized OfficialByron Oswaldo Mata GonzalezPresident · (770) 718-1517
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1790655108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4292 CHAMBLEE TUCKER RD, Tucker, GA 30084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

BETSNAT MENGESHA
Physician Assistant
4292 CHAMBLEE TUCKER RD
TUCKER, GA 30084
Dekalb County (770) 718-1517
LEODEZ
General Practice
4292 CHAMBLEE TUCKER RD
TUCKER, GA 30084
Dekalb County (770) 718-1517

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 K-Mata LLC's NPI number?

The NPI number for K-Mata LLC is 1790655108. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is K-Mata LLC located?

K-Mata LLC is located at 4292 Chamblee Tucker Rd, Tucker, GA 30084. The listed phone number is (770) 718-1517.

What is K-Mata LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for K-Mata LLC was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.