Individual provider Active NPI

Kati Mathis, APRN

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1932727625
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25306 Issued in SC
Practice address
2104A Woodruff Rd
Greenville, SC 29607-5941
Phone
(864) 336-2323
Fax
(864) 236-4222
NPI assigned
Jul 8, 2020
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25306 SC Primary

Addresses

Primary practice location

2104A Woodruff Rd
Greenville, SC 29607-5941

Mailing address

2255 Glades Rd Ste 228W
Boca Raton, FL 33431-7391
Phone (561) 342-8829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20220725000790 SC Practitioner - Nurse Practitioner 4284015173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates - SC LLCGroup PAC ID 3577973544, 3 clinicians

Practice addresses (Care Compare)

2104 A Woodruff Rd
Greenville, SC 29607-5941
Phone (864) 336-2323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25306SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates - SC LLC CurrentSince Jun 15, 2022 Accepting new patients
Greenville Rheumatology & Allergy, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101

2104A Woodruff Rd
Greenville, SC 29607
Phone (864) 336-2323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kati.mathis.p26@direct.aara1.nextgenshare.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1932727625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 GLADES RD STE 228W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317391",
            "telephone_number": "561-342-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104A WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075941",
            "telephone_number": "864-336-2323",
            "fax_number": "864-236-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "KATI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.