K-Mata LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

K-MATA LLC

Practice address

4292 Chamblee Tucker Rd
Tucker, GA 30084-2103

Phone

(770) 718-1517

Fax

(770) 718-1518

NPI assigned

Nov 10, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Byron Oswaldo Mata Gonzalez, MDNPI 1326206897

Title

President

Phone

(770) 718-1517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Byron Oswaldo Mata Gonzalez

  • Hospitalist Physician
  • Gainesville, GA
  • NPI 1326206897
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1790655108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 GRASSLAND LOOP",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464120",
            "telephone_number": "770-718-1517",
            "fax_number": "770-718-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4292 CHAMBLEE TUCKER RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842103",
            "telephone_number": "770-718-1517",
            "fax_number": "770-718-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-MATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "MATA GONZALEZ",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "OSWALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-718-1517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Denese Jones, MD
• Laura Joplin, MSW
• Savita Yogendra Joshi, MD
• Andrea Palmer Juliao, M.D.
• Vickie Lynn Jumper, NP
• Michaela Lynn Kadron
• Lauren Z Kain, PHARMD
• Kaiser Foundation Health Plan of Georgia Inc (Georgia Regional Lab)
• Kaiser Foundation Health Plan of Georgia Inc.
• Kaiser Foundation Health Plan of Georgia Inc.

• Family Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.