Active NPI
Amanda Lee Mattox, FNP-C
- Family Nurse Practitioner
- Belmont, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5014683
- 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
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 |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 243495 | NC | MD | Registered Nurse |
| 5014683 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Disc Associates, P.C. | Current | Accepting new patients | |
| Caromont Medical Group, Inc. | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Select Health Pain and Regenerative Medicine PC | Nurse Practitioner | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Gastonia Physician Services, PLLC | Current | Accepting new patients | |
| Gastonia Physician Services, PLLC | Current | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1316367691
-
- General Practice Physician
- Charlotte, NC
- NPI 1124636667
Nurse Practitioner
-
dba CaroMont Family Medicine
- Family Medicine Physician
- Clover, SC
- NPI 1568641165
-
- Chiropractor
- Charlotte, NC
- NPI 1528491743
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
dba CaroMont Family Medicine
- Family Medicine Physician
- Dallas, NC
- NPI 1114420254
-
- Emergency Medicine Physician
- Mount Holly, NC
- NPI 1023416708
-
- Emergency Medicine Physician
- Belmont, NC
- NPI 1104644004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.