Active NPI
Joyce Mathai, PA-C
- Physician Assistant
- Soddy Daisy, TN
National Provider Identifier
1871353185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5912
- Practice address
- 9389 Dayton Pike
#05694
Soddy Daisy, TN 37379-4824 - Phone
- (225) 757-1023
- NPI assigned
- Mar 21, 2024
- Last updated
- Apr 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5912 | TN | Primary |
Addresses
Primary practice location
9389 Dayton Pike
#05694
Soddy Daisy, TN 37379-4824
Mailing address
6617 Vaden Dr
Chattanooga, TN 37421-2437
Phone (423) 710-4565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727
796 Ridgeway Ave
Signal Mountain, TN 37377-3067
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5912 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Tennessee LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1457323164
-
- Family Medicine Physician
- Nashville, TN
- NPI 1376110858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1871353185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6617 VADEN DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212437",
"telephone_number": "423-710-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9389 DAYTON PIKE",
"address_2": "#05694",
"city": "SODDY DAISY",
"state": "TN",
"postal_code": "373794824",
"telephone_number": "225-757-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHAI",
"first_name": "JOYCE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soddy Daisy, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.