Individual provider Active NPI

Soammy Liz Matias, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1578068359
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010030 Issued in GA
Practice address
700 Old Roswell Lakes Pkwy Ste 230
Roswell, GA 30076-1695
Phone
(470) 800-4041
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010030 GA Primary

Addresses

Primary practice location

700 Old Roswell Lakes Pkwy Ste 230
Roswell, GA 30076-1695

Mailing address

10800 Alpharetta Hwy Ste 208-588
Roswell, GA 30076-1490
Phone (470) 800-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010030GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matias Health Chiropractic II LLC Chiropractor CurrentSince Apr 6, 2025 Accepting new patients
Matias Health Chiropractic LLC Chiropractor CurrentSince Mar 30, 2025 Accepting new patients
Mary E Watkins DC PC Chiropractor PastSince Apr 1, 2018 Accepting new patients

Locations

255 Norcross St
#B
Roswell, GA 30075
Phone (678) 321-1710

10800 Alpharetta Hwy
Ste 208588
Roswell, GA 30076

700 Old Roswell Lakes Pkwy
Ste 230
Roswell, GA 30076
Phone (470) 800-4041

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1578068359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY STE 208-588",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761490",
            "telephone_number": "470-800-4041",
            "fax_number": "470-403-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 230",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761695",
            "telephone_number": "470-800-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "SOAMMY",
        "middle_name": "LIZ",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.