Richard Mattison, MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

011627 Issued in GA

Legal business name

RICHARD MATTISON, MD LLC

Practice address

3833 Roswell Rd NE
Suite #116
Atlanta, GA 30342-4432

Phone

(404) 812-0211

Fax

(404) 812-9011

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard Crawford Mattison, MD, FACS

Title

Owner

Phone

(404) 812-0211

Specialties & licenses 1

Addresses

Other names 1

• Tuxedo Aesthetic Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1205008489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 ROSWELL RD NE",
            "address_2": "SUITE #116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424432",
            "telephone_number": "404-812-0211",
            "fax_number": "404-812-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 ROSWELL RD NE",
            "address_2": "SUITE #116",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424432",
            "telephone_number": "404-812-0211",
            "fax_number": "404-812-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MATTISON, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MATTISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CRAWFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-812-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "011627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuxedo Aesthetic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Gibson Rich
• Patricia Rich, LPC
• Patricia L Rich, MD
• Richard a. Waldman, M.D., P.C.
• Richard Bondi PHD Inc
• Core Richard
• Darice E. Richard, PHARM.D.
• Jonathan Richard, MD
• Rejeanne Richard
• Audrey C Richards

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.