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: July 19, 2026.

  • Organization
  • Family Medicine

About K-MATA LLC

This page provides the complete NPI Profile along with additional information for K-mata Llc, a primary care provider established in Tucker, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1790655108 assigned on November 2025. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Byron Oswaldo Mata Gonzalez Md (President)

NPI
1790655108 Verify this NPI
Provider Name
K-MATA LLC
Entity Type
Organization
Location Address
4292 CHAMBLEE TUCKER RD TUCKER, GA 30084
Location Phone
(770) 718-1517
Location Fax
(770) 718-1518
Mailing Address
3899 GRASSLAND LOOP LAKE MARY, FL 32746
Mailing Phone
(770) 718-1517
Mailing Fax
(770) 718-1518
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2025
Last Update Date
11-10-2025
Code Navigator

A primary care provider (PCP) like K-mata Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BYRON OSWALDO MATA GONZALEZ MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 718-1517

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

General Practice
4292 CHAMBLEE TUCKER RD
TUCKER, GA 30084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790655108, enumerated as an "organization" on November 10, 2025.

The provider is located at 4292 CHAMBLEE TUCKER RD TUCKER, GA 30084 and the phone number is (770) 718-1517.

Family Medicine with taxonomy code 207Q00000X.