Individual provider Active NPI

Valerie Kaye Mattocks, FNP-BC, AGACNP-BC

  • Family Nurse Practitioner
  • Dawsonville, GA
National Provider Identifier
1639800717
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP231315 Issued in GA
Practice address
378 Marketplace Pkwy
Dawsonville, GA 30534-7266
Phone
(678) 389-6509
NPI assigned
Jun 21, 2022
Reactivated
Jul 22, 2022
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP231315 GA Primary
Acute Care Nurse Practitioner 363LA2100X APRN-NP231315 GA

Addresses

Primary practice location

378 Marketplace Pkwy
Dawsonville, GA 30534-7266

Mailing address

3820 Mundy Mill Rd BLDG 23
Oakwood, GA 30566-3414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmattocks141649@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220912002154 GA Practitioner - Nurse Practitioner 9537544549 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP231315GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Feb 3, 2024 Accepting new patients
Northeast Georgia Physicians Group Inc Nurse Practitioner CurrentSince Jul 12, 2023 Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

378 Marketplace Pkwy
Dawsonville, GA 30534
Phone (470) 375-1995

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

Interoperability endpoints

  • Direct secure messaging: vmattocks141649@nghs.gadirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1639800717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 MUNDY MILL RD BLDG 23",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305663414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 MARKETPLACE PKWY",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347266",
            "telephone_number": "678-389-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "VALERIE",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "deactivation_date": "2022-06-21",
        "reactivation_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP231315",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "APRN-NP231315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmattocks141649@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2324 Limestone Overlook",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305017443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.