SCOTT MATHIS (APRN,BC) – Nurse Practitioner, NPI 1356535322

SCOTT MATHIS (APRN,BC) is a healthcare provider. based in Waycross, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN,BC. They hold a License No. RN00138004 (GA). The NPI Number for SCOTT MATHIS (APRN,BC) is 1356535322

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT MATHIS (APRN,BC)
NPI
1356535322
Phone
(912) 284-9800
Address
1218 ALICE ST
Enumeration Date
31 August 2007
Last Update Date
31 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124494426
Graduation Year
2000 (26 years ago)
PAC ID
7719132141
Group Practice PAC ID
8123013455
Professional Enrollment ID
I20130308000327
Address ID
GA315161561BL120XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for SCOTT MATHIS (APRN,BC)

  • 1218, Alice Street, Waycross, Ware County, Georgia, 31501, United States

    WAYCROSS, GA 315014525

    Phone: (912) 284-9800

    Fax: (912) 284-1711

    Type: Location

  • Carter Avenue, Blackshear, Pierce County, Georgia, 31516, United States

    BLACKSHEAR, GA 315161561

    Phone: (912) 449-1501

    Fax: (912) 449-1517

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $1,082.

Total Amount is formed as General ($1,082) + Research ($0) + Ownership ($0) = $1,082.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($136).

Total Amount

$1,082

General + Research + Ownership

Payments

59

Total payment records

General Amount

$1,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130308000327INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes378186$0
36415Insertion of needle into vein for collection of blood sample300155$0
99213Established patient office or other outpatient visit, 20-29 minutes210143$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16336$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit113113$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123013455View full group profile
NameSpecialtyState
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerFL
Family PracticeGA
-GA
Nurse PractitionerGA
Nurse PractitionerFL
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA

Reviews

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Frequently asked questions

Can I verify SCOTT MATHIS (APRN,BC) with an NPI only?
You can start verification with NPI 1356535322 for SCOTT MATHIS (APRN,BC), then check state licensing separately.
Does CMS list SCOTT MATHIS (APRN,BC) as active?
Yes — SCOTT MATHIS (APRN,BC) is active in the NPI listing used on this page.
What taxonomy line describes SCOTT MATHIS (APRN,BC)?
For research purposes, treat SCOTT MATHIS (APRN,BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does SCOTT MATHIS (APRN,BC) serve?
SCOTT MATHIS (APRN,BC)'s listing highlights Waycross, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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