Lauren Ashley Mattox, PMHNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

254847 Issued in GA

Practice address

223 Medical Center Dr
Riverdale, GA 30274-2640

Phone

(770) 991-8500

NPI assigned

Mar 10, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lauren Ashley Mattox Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1043019508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 STROUD RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332812",
            "telephone_number": "770-940-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MEDICAL CENTER DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742640",
            "telephone_number": "770-991-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "254847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MATTOX",
            "middle_name": "ASHLEY",
            "prefix": "MRS.",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carolyn W. Marshall, L.C.S.W., ED. S.
• Megan Marshall, MD
• David Michael Martin, MD
• Jacquelyn Hairston Martin, C-FNP
• Kandathil M. Mathew, M.D.
• Maxicare Medical Supply
• Sharlene Maynor, NP
• Efiong E. Mbaba, REGISTERED NURSE
• Dominique Mary McCray
• Terry L McCulloch, DDS

• Registered Nurse in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.