NPIMap

Charlotte Elizabeth Grayson- Mathis, M.D.

Individual provider Active NPI Internal Medicine Physician · Fayetteville, GA

NPI 1497779391 · NPPES record last updated Feb 17, 2011

Key facts

NPI
1497779391
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
LL057811 (GA)
Practice address
101 Yorktown Drive
Fayetteville, GA 30214
Phone
(770) 801-2526
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Boston University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group of Georgia LLC (454 clinicians)
Select Rehabilitation, LLC (1,935 clinicians)

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Enhabit Home Health Home health agency · Columbus, GA · CCN 117306
  • Centerwell Home Health Home health agency · Peachtree City, GA · CCN 117137
  • Central Home Health Care, an Amedisys Company Home health agency · Douglasville, GA · CCN 117050
  • Centerwell Home Health Home health agency · Kennesaw, GA · CCN 117027
  • Adoration Home Health Home health agency · Fayetteville, GA · CCN 117105
  • Compassus-Fayetteville Hospice · Fayetteville, GA · CCN 111649
  • Piedmont Fayette Hospital Hospital · Fayetteville, GA · CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital · Newnan, GA · CCN 110229
  • Piedmont Henry Hospital Hospital · Stockbridge, GA · CCN 110191
  • Wellstar Spalding Medical Center Hospital · Griffin, GA · CCN 110031
  • Piedmont Hospital, Inc Hospital · Atlanta, GA · CCN 110083

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-Fayetteville
Fayetteville, GA · CCN 111649		 Hospice Contracted Managing Employee Oct 1, 2022

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061116000018 GA Practitioner - Internal Medicine 2668470212 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL057811GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Pediatric Medical Group of Georgia LLC Current Accepting new patients
Compassus Op of Georgia II LLC Current
since Apr 20, 2023		 Accepting new patients
Hospice Advantage, LLC Current
since Feb 15, 2022		 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine Current
since Mar 2, 2015		 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine Current
since Mar 2, 2015		 Accepting new patients
Hospice Advantage, LLC Current
since Feb 15, 2022		 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients
Hospice Advantage, LLC Past Accepting new patients

Locations

3235 Satellite Blvd
Ste 290
Duluth, GA 30096
Phone (770) 449-8142

101 Yorktown Dr
Fayetteville, GA 30214
Phone (770) 460-4281

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

300 Chastain Center Blvd NW
Ste 345
Kennesaw, GA 30144
Phone (770) 218-1997

1100 Northside Xing
Macon, GA 31210
Phone (478) 321-9071

450 Mall Blvd
Ste A
Savannah, GA 31406
Phone (912) 354-3727

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: charlotte.grayson-mathis.1@8042.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL057811 GA Yes

Addresses

Primary practice location

101 Yorktown Drive
Fayetteville, GA 30214

Mailing address

4742 Longcourt Dr SE
Smyrna, GA 30080-7194
Phone (678) 427-0734

Other providers in Fayetteville, GA

All providers in Fayetteville, GA · Internal Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.