Individual provider Active NPI

Lauren Mathis, N.P.

  • Pediatric Nurse Practitioner
  • Evans, GA
National Provider Identifier
1740729516
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN214012 Issued in GA
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

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003187586DMedicaidGA
003187586EMedicaidGA
003187586FMedicaidGA

Other names 1

  • Lauren Chandler Former name

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
I20170425000433 GA Practitioner - Nurse Practitioner 0042596215 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN214012GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Center, Inc CurrentSince Apr 1, 2017 Accepting new patients
Au Medical Associates Inc CurrentSince Dec 4, 2018 Accepting new patients
Pediatric Partners of Augusta, LLC Pediatrics CurrentSince Jan 28, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Dec 4, 2018 Accepting new patients
Au Medical Center, Inc. CurrentSince Apr 1, 2017 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

  • Direct secure messaging: lauren.mathis.1@14928.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14928/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.