Active NPI
Lauren Mathis, N.P.
- Pediatric Nurse Practitioner
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN214012
- Practice address
- 411 Town Park Blvd
Evans, GA 30809-3487 - Phone
- (706) 854-2500
- Fax
- (706) 854-2559
- NPI assigned
- Feb 14, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN214012 | GA | Primary |
| Pediatrics Physician | 208000000X | RN214012 | GA | |
| Nurse Practitioner | 363L00000X | RN214012 | GA |
Addresses
Primary practice location
411 Town Park Blvd
Evans, GA 30809-3487
Mailing address
411 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 854-2500
Other practice location 1
241 Meridian Dr
Grovetown, GA 30813-0260
Phone (706) 854-2500
Other practice location 2
1303 Dantignac St Ste 2600
Augusta, GA 30901-2796
Phone (706) 854-2500 ext. 232
Other practice location 3
5135 Wrightsboro Rd Ste B
Grovetown, GA 30813-2803
Phone (706) 854-2500 ext. 232
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003187586D | Medicaid | GA | |
| 003187586E | Medicaid | GA | |
| 003187586F | Medicaid | GA |
Other names 1
- Lauren Chandler
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN214012 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Center, Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Pediatric Partners of Augusta, LLC | Pediatrics | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Center, Inc. | Current | Accepting new patients | |
| Melissa Jadick | Pediatrics | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1303 Dantignac St
Ste 2600
Augusta, GA 30901
Phone (706) 854-2500
1120 15th St
#8300A
Augusta, GA 30912
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
411 Town Park Blvd
Evans, GA 30809
Phone (706) 854-2500
5135 Wrightsboro Rd
Ste B
Grovetown, GA 30813
Phone (706) 854-2500
Interoperability endpoints
- lauren.mathis.1@14928.direct.athenahealth.com
- https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
- lauren.mathis@hca7.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Community/Retail Pharmacy
- Augusta, GA
- NPI 1487901476
-
- Pediatrics Physician
- Evans, GA
- NPI 1417064924
-
- Pediatrics Physician
- Augusta, GA
- NPI 1013927946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1740729516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 TOWN PARK BLVD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093487",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 TOWN PARK BLVD",
"city": "EVANS",
"state": "GA",
"postal_code": "308093487",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559"
}
],
"practiceLocations": [
{
"address_1": "241 Meridian Dr",
"address_purpose": "LOCATION",
"city": "Grovetown",
"state": "GA",
"postal_code": "308130260",
"country_code": "US",
"telephone_number": "706-854-2500",
"fax_number": "706-854-2559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 Dantignac St Ste 2600",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012796",
"country_code": "US",
"telephone_number": "706-854-2500 x232",
"fax_number": "706-854-2559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5135 Wrightsboro Rd Ste B",
"address_purpose": "LOCATION",
"city": "Grovetown",
"state": "GA",
"postal_code": "308132803",
"country_code": "US",
"telephone_number": "706-854-2500 x232",
"fax_number": "706-854-2559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIS",
"first_name": "LAUREN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN214012",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "RN214012",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN214012",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003187586D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003187586E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003187586F",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "CHANDLER",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.