Rebekah Randall Mathis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10361 Issued in NC

Practice address

1338 E Sunset Dr Ste C
Monroe, NC 28112-4362

Phone

(704) 296-0909

NPI assigned

Jul 14, 2020

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Community Health Services of Union County, Inc.

  • Public Health or Welfare Agency
  • Monroe, NC
  • NPI 1689860348
  NPD
• Community Health Services of Union County, Inc.

  • Public Health or Welfare Agency
  • Monroe, NC
  • NPI 1114470960
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1255959458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 MEDLIN RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281127493",
            "telephone_number": "704-681-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E SUNSET DR STE C",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124362",
            "telephone_number": "704-296-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "REBEKAH",
        "middle_name": "RANDALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William George Martin III, M.D.
• Sara Andrase Martinho, PA-C
• Massage at Monroe
• Mary H Massey, LCAS-A
• Kyle Newton Mathis, PA-C
• Jody Kaye Matlock, MPA-C
• Francisco Alberto Matos Quintero, MD
• Todd Russell Matson, D.MIN.
• Matthews Internal Medicine PLLC
• Molly Couick Mauldin

• Physician Assistant in Monroe, NC
• Providers in Monroe, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.

Verify at the official NPI Registry.