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MISS ELLISA A MATHIS FNP'C
NPI 1801903596
Nurse Practitioner - Family in Waycross, GA

Active since August 25, 2006
409 UVALDA ST, WAYCROSS, GA 31501(912) 283-1359(912) 283-1362 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Ellisa A Mathis Fnp'c NPPES

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

MISS ELLISA A MATHIS FNP'C (NPI 1801903596) is an individual family provider in Waycross, Georgia, licensed in Georgia (RN068928) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1801903596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS ELLISA A MATHISCredential: FNP'C
Location Address409 UVALDA STWaycross, GA 31501-4574
Mailing Address800 Beacon StWaycross, GA 31501-7104 · (912) 287-4434 · Fax (912) 287-9964
Phone(912) 283-1359
Fax(912) 283-1362
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateOctober 30, 2009
✔ NPI 1801903596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN068928
409 UVALDA ST, Waycross, GA 31501
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Other Providers at the Same Location NPPES 3

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

SOUTHEAST GEORGIA PRIMARY CARE
Family Medicine
409 UVALDA ST
WAYCROSS, GA 31501
Ware County (912) 283-1359
KALA HODGES FNP-C
Nurse Practitioner (Family)
409 UVALDA ST
WAYCROSS, GA 31501
Ware County (229) 391-3500
LESLIE C. TAYLOR RN, APRN, NP-C
Nurse Practitioner (Family)
409 UVALDA ST
WAYCROSS, GA 31501
Ware County (912) 283-1359

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 Ellisa Mathis's NPI number?

The NPI number for Ellisa Mathis is 1801903596. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Ellisa Mathis located?

Ellisa Mathis practices at 409 Uvalda St, Waycross, GA 31501. The listed phone number is (912) 283-1359.

What is Ellisa Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ellisa Mathis was last updated on October 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.