Active NPI
Heather Marie Mathis, FNP-C
- Family Nurse Practitioner
- McDonough, GA
National Provider Identifier
1639470206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN149754NP
- Practice address
- 80 Candler Rd
McDonough, GA 30253-5455 - Phone
- (678) 432-8811
- NPI assigned
- Nov 12, 2010
- Last updated
- Oct 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN149754NP | GA | Primary |
Addresses
Primary practice location
80 Candler Rd
McDonough, GA 30253-5455
Mailing address
80 Candler Rd
McDonough, GA 30253-5455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003113176A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN149754NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Grace Hospice and Palliative Care | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Next Level Medical Management, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
80 Candler Rd
McDonough, GA 30253
Phone (678) 432-8811
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- McDonough, GA
- NPI 1124448188
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
-
dba Family Medical Center
- Family Medicine Physician
- Griffin, GA
- NPI 1750996070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760227200000",
"number": "1639470206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 CANDLER RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 CANDLER RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535455",
"telephone_number": "678-432-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2025-10-12",
"certification_date": "2025-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN149754NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003113176A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
- Hunter Christopher Martin, ATC
- Julie Martin, L.P.C.
- Ramona A Martinez, RN
- Christina Mason, LCSW
- Felicia Mathis, OTR/L
- Matrix Rehabilitation-Georgia Inc (Physiotherapy Associates)
- Matrix Rehabilitation-Georgia Inc (Physiotherapy Associates)
- Rose A Matthews, M.S., CCC SLP
- Cynthia Denise Riley Maxwell, NP
- Marquita Latrice Maxwell, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.