Individual provider Active NPI

Erin Nichole Mattocks, DO

  • Cardiovascular Disease Physician
  • Gainesville, FL
National Provider Identifier
1144580895
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS019433 Issued in PA
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

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240308001751 FL Practitioner - Cardiovascular Disease (Cardiology) 2961624424 Reassigns benefits to 1 organization
I20250827005212 GA Practitioner - Cardiovascular Disease (Cardiology) 2961624424 Reassigns benefits to 1 organization

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
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
Interventional Cardiologists of Gainesville, PAGroup PAC ID 8820077241, 36 clinicians

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 Hospital, Albany, GA, CCN 110007
  • Phoebe Sumter Medical Center Hospital, Americus, GA, CCN 110044

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS019433PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Cardiologists of Gainesville, PA Cardiovascular Disease CurrentSince Feb 3, 2024 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 11, 2025 Accepting new patients
Regional Health Services Inc Internal Medicine CurrentSince Sep 26, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.