Kalyn L Mattis VI

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2602 Queen Anne CT
Atlanta, GA 30350-6300

Phone

(404) 759-0707

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: info@teamaya.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.

• Aya & Houze Enterprises

  dba A.Y.a

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1427605971
  NPD Authorized official

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1417500794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 QUEEN ANNE CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506300",
            "telephone_number": "404-759-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 QUEEN ANNE CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506300",
            "telephone_number": "404-759-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "KALYN",
        "middle_name": "L",
        "name_suffix": "VI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@teamaya.com",
            "affiliation": "N",
            "endpointDescription": "Company secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2602 Queen Anne Ct",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303506300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roland P Matthews, MD
• Tatiana Y. Matthews, MS
• Tucker Matthews, MD
• Martha Matthiessen, RN
• Debra Engelke Mattis, PAA
• Douglas Mattox, M.D.
• Gail A Mattox, MD
• Jenna Mattox
• Syhnia Mattox
• Tracie V Mattox

• Case Manager/Care Coordinator in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.