Kayla Mathie, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN278574 Issued in GA

Practice address

330 Peachtree St
Jesup, GA 31545-0246

Phone

(912) 415-8552

NPI assigned

Dec 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peachtree Family Medicine, LLC.Group PAC ID 4183151582, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Peachtree Family Medicine, LLC.

  • Family Medicine Physician
  • Jesup, GA
  • NPI 1700608353
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1609684331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450246",
            "telephone_number": "912-415-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450246",
            "telephone_number": "912-415-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIE",
        "first_name": "KAYLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN278574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Mager, M.D.
• Magnolia Midlands Pain Management
• Jennifer C. Mann-Mackey, LPC
• Mark Byron MD PC
• Shanekia Marsh, NP-C
• Shauna Mattingly, LCSW
• Savannah Grace McDaniel, LAT, ATC
• Tiffany S. McDonald, LPC
• Alan McIntosh
• Me Pivot Holdings, LLC

• Family Nurse Practitioner in Jesup, GA
• Providers in Jesup, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.

Verify at the official NPI Registry.