Marc Andrew Mattison, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102918 Issued in FL

Practice address

228 W Alexander St
Plant City, FL 33563-7157

Phone

(813) 754-5480

Fax

(877) 285-9902

NPI assigned

Nov 1, 2006

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: marc.mattison.1@29601.direct.athenahealth.com
• Direct secure messaging: marc.mattison.2@29601.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment Care Compare group
• Tampa Bay Inpatient Medicine PA

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1992987200
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1780761825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "fax_number": "813-876-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637157",
            "telephone_number": "813-754-5480",
            "fax_number": "877-285-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "MARC",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc.mattison.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "marc.mattison.1@29601.direct.athenahealth.com",
            "address_1": "228 W Alexander St",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335637157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc.mattison.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "marc.mattison.2@29601.direct.athenahealth.com",
            "address_1": "228 W Alexander St",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335637157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Lloyd Masters, ARNP
• Manjit Singh Matharu
• Michael S Mathews, DMD
• Megan Kristen Mathis, PHARMD
• Patricia Mathis, OTR/L
• Max F Rattes MD PA
• Clara MC Leod
• MC Medical LLC (Walmart Health)
• Jerry McDonald, RPH
• Denise Lynn McElroy

• Medical Physician Assistant in Plant City, FL
• Providers in Plant City, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.