Active NPI
Erin Nichole Mattocks, DO
- Cardiovascular Disease Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS019433
- Practice address
- 4645 NW 8TH Ave
Gainesville, FL 32605-4687 - Phone
- (352) 375-1212
- Fax
- (352) 371-4650
- NPI assigned
- May 29, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS019433 | PA | |
| Nuclear Cardiology Physician | 207UN0901X | OS019433 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | OS019433 | PA | Primary |
Addresses
Primary practice location
4645 NW 8TH Ave
Gainesville, FL 32605-4687
Mailing address
4645 NW 8TH Ave
Gainesville, FL 32605-4687
Phone (352) 375-1212
Other practice location 1
120 E 2nd St Fl 2
Erie, PA 16507-1579
Phone (814) 456-8980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- West Virginia School of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
122 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
132 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
425 W 3Rd Ave
Suite 600
Albany, GA 31701-1961
Phone (229) 431-1022
4645 NW 8TH Ave
Suite 20
Gainesville, FL 32605-4688
Phone (352) 375-1212
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
- Phoebe Sumter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.89 of 100
- Quality
- 65.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019433 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Cardiologists of Gainesville, PA | Cardiovascular Disease | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Regional Health Services Inc | Internal Medicine | Current | Accepting new patients |
Locations
1151 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-8570
4645 NW 8th Ave
Ste 20
Gainesville, FL 32605
Phone (352) 375-1212
4645 NW 8th Ave
Gainesville, FL 32605
Phone (352) 264-2500
3239 NW York Dr
Lake City, FL 32055
Phone (352) 375-1212
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700
333 State St
Ste 103
Erie, PA 16507
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
Interoperability endpoints
- erin.mattocks.1@8478.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Gainesville, FL
- NPI 1811931629
Cardiovascular Disease
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1144580895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 NW 8TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054687",
"telephone_number": "352-375-1212",
"fax_number": "352-371-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 NW 8TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054687",
"telephone_number": "352-375-1212",
"fax_number": "352-371-4650"
}
],
"practiceLocations": [
{
"address_1": "120 E 2nd St Fl 2",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165071579",
"country_code": "US",
"telephone_number": "814-456-8980",
"fax_number": "814-451-0443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTOCKS",
"first_name": "ERIN",
"middle_name": "NICHOLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS019433",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PA",
"license": "OS019433",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "OS019433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.