Kelcie Anne Matthews

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT004007 Issued in GA

Practice address

3534 E Hall Rd
Gainesville, GA 30507-7111

Phone

(770) 722-2750

NPI assigned

Jun 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1326662263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 RIDGEDALE CT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066950",
            "telephone_number": "770-722-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 E HALL RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305077111",
            "telephone_number": "770-722-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KELCIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT004007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Mathew
• Jessy Abi Mathews, MSN, FNP-C, APRN
• Arnedia Mathis, PHARMD
• Ondontranique Mathis
• Nelson Matos Ruiz III, MD
• Marianne Szal Matthews, FNP
• Teresa Rebakah Matthews, NP C
• Rosalie Mattiola, MD
• Maxim Healthcare Services, Inc.
• Megan Elizabeth Maxwell

• Athletic Trainer in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.