Organization Active NPI

Robert L. Mathis & Associates, Inc.

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1578690384
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002157 Issued in GA
Legal business name
ROBERT L. MATHIS & ASSOCIATES, INC.
Practice address
1640 Powers Ferry Rd SE
Building 8 - Suite 145
Marietta, GA 30067-5491
Phone
(770) 956-1056
Fax
(770) 944-8586
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. Robert Mathis, MSW
Title
President
Phone
(770) 956-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 002157 GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE
Building 8 - Suite 145
Marietta, GA 30067-5491

Mailing address

PO Box 813386
Smyrna, GA 30081-8386
Phone (770) 956-1056

National Provider Directory

National Provider Directory

Locations

1640 Powers Ferry Rd SE
Bldg 8
Marietta, GA 30067
Phone (678) 933-7386

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1578690384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813386",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300818386",
            "telephone_number": "770-956-1056",
            "fax_number": "770-944-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BUILDING 8 - SUITE 145",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "770-956-1056",
            "fax_number": "770-944-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. MATHIS & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-956-1056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.