Active NPI
Andrea Yvette Mathador
- Family Nurse Practitioner
- Sandy Springs, GA
National Provider Identifier
1023535085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN181680
- Practice address
- 5775 Peachtree Dunwoody Rd NE
Sandy Springs, GA 30342-1501 - Phone
- (763) 361-7338
- Fax
- (844) 673-9314
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25401 | SC | |
| Family Nurse Practitioner | 363LF0000X | 3-000145 | AL | |
| Family Nurse Practitioner | 363LF0000X | RN181680 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 5016199 | NC | |
| Family Nurse Practitioner | 363LF0000X | 3015726 | KY | |
| Family Nurse Practitioner | 363LF0000X | 904633 | MS | |
| Family Nurse Practitioner | 363LF0000X | 28799 | TN | |
| Family Nurse Practitioner | 363LF0000X | 219610 | AR |
Addresses
Primary practice location
5775 Peachtree Dunwoody Rd NE
Sandy Springs, GA 30342-1501
Mailing address
2805 Hamilton Mill Rd
Buford, GA 30519-4110
Phone (678) 541-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN181680 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Care | Current | Accepting new patients |
Locations
1856 Thompson Bridge Rd
Ste 5
Gainesville, GA 30501
Phone (770) 538-6010
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Duluth, GA
- NPI 1740528785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1023535085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 HAMILTON MILL RD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305194110",
"telephone_number": "678-541-0588",
"fax_number": "678-541-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 PEACHTREE DUNWOODY RD NE",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303421501",
"telephone_number": "763-361-7338",
"fax_number": "844-673-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHADOR",
"first_name": "ANDREA",
"middle_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "25401",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-000145",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN181680",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016199",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3015726",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904633",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "28799",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "219610",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.