Rebeka Leann Mathis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5604 Issued in GA

Practice address

1719 Russell Pkwy
BLDG. 300
Warner Robins, GA 31088-5763

Phone

(478) 923-0106

NPI assigned

Jul 20, 2009

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

Other names 1

• Mrs. Leann Mathis Other name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates of Central Ga LLCGroup PAC ID 6901702059, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rebeka.mathis@gaocg.eclinicaldirectplus.com

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.

• Gastroenterology Associates of Central Ga, LLC

  • Specialist
  • Macon, GA
  • NPI 1528192176
  Medicare reassignment Care Compare group
• Synergetic Healings LLC

  • Clinical Social Worker
  • Gray, GA
  • NPI 1831967884
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1285864769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY",
            "address_2": "BLDG. 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885763",
            "telephone_number": "478-923-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 RUSSELL PKWY",
            "address_2": "BLDG. 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885763",
            "telephone_number": "478-923-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "REBEKA",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "MATHIS",
            "prefix": "MRS.",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Bonnie Martin, B.S.-CIT
• Bethany Marie Martinez, APC, NCC
• Joshua Howard Masdon, MD
• David Matthew Matheny
• Gwen Mathis, RN
• Maxim Healthcare Services, Inc
• Ida Mayaka, FNP
• Pamela Mayfield
• Delta Meade Mayhue, FNP
• Ursula Mays

• Physician Assistant in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.

Verify at the official NPI Registry.