Individual provider Active NPI

Amanda Lee Mattox, FNP-C

  • Family Nurse Practitioner
  • Belmont, NC
National Provider Identifier
1831768159
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014683 Issued in NC
Practice address
1223 Spruce St
Belmont, NC 28012-3371
Phone
(980) 834-8800
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 243495 NC
Nurse Practitioner 363L00000X 5014683 NC
Family Nurse Practitioner 363LF0000X 5014683 NC Primary

Addresses

Primary practice location

1223 Spruce St
Belmont, NC 28012-3371

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210820000893 NC Practitioner - Nurse Practitioner 1658776208 Reassigns benefits to 5 organizations
I20220929003941 SC Practitioner - Nurse Practitioner 1658776208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

17078 Nat Bynum LN
Unit 3
Cornelius, NC 28031-0507
Phone (704) 324-3975

179 Williamson Rd
Mooresville, NC 28117-6831
Phone (704) 324-3986

185 Williamson Rd
Mooresville, NC 28117-6831
Phone (844) 266-8268

3250 Wilkinson Blvd
Unit I
Charlotte, NC 28208-5667
Phone (704) 319-5176

5303 Poplar Tent Rd
Suite 90
Concord, NC 28027-9720
Phone (980) 866-4493

8036 Providence Rd
Suite 100
Charlotte, NC 28277-0257
Phone (980) 301-8711

9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243495NCMDRegistered Nurse
5014683NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Disc Associates, P.C. CurrentSince Jun 1, 2021 Accepting new patients
Caromont Medical Group, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 20, 2024 Accepting new patients
Select Health Pain and Regenerative Medicine PC Nurse Practitioner CurrentSince Aug 4, 2021 Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 26, 2022 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 20, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 26, 2022 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Gastonia Physician Services, PLLC Current Accepting new patients
Gastonia Physician Services, PLLC CurrentSince May 27, 2024 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince May 27, 2024 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

1223 Spruce St
Belmont, NC 28012
Phone (704) 316-2150

15720 Brixham Hill Ave
Ste 130
Charlotte, NC 28277
Phone (704) 541-5555

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

9310 Strause Dr
Ste B
Charlotte, NC 28214
Phone (704) 398-6490

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1895 Hoffman Rd
#B
Gastonia, NC 28054
Phone (704) 861-8669

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

451 E Charlotte Ave
Mt Holly, NC 28120
Phone (980) 834-2266

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

1201 Village Harbor Dr
Ste 104
Lake Wylie, SC 29710
Phone (803) 831-6859

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: amattox1480886@direct.novanthealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1831768159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123371",
            "telephone_number": "980-834-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "243495",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014683",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.