Active NPI
Julia Elizabeth Mattingly, MD
- Family Medicine Physician
- Dahlonega, GA
National Provider Identifier
1467147256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 110747
- Practice address
- 95 Morrison Moore Pkwy W Ste 100
Dahlonega, GA 30533-1588 - Phone
- (770) 219-9475
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 110747 | GA | Primary |
Addresses
Primary practice location
95 Morrison Moore Pkwy W Ste 100
Dahlonega, GA 30533-1588
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 848-8448
Other practice location 1
1800 10th Ave Unit ABC
Columbus, GA 31901-1529
Phone (706) 571-1430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1467147256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-848-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MORRISON MOORE PKWY W STE 100",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305331588",
"telephone_number": "770-219-9475"
}
],
"practiceLocations": [
{
"address_1": "1800 10th Ave Unit ABC",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319011529",
"country_code": "US",
"telephone_number": "706-571-1430",
"fax_number": "706-571-1604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTINGLY",
"first_name": "JULIA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "110747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.