LAUREN MATHIS (N.P.) – Pediatric Nurse Practitioner, NPI 1740729516
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAUREN MATHIS (N.P.)
411 TOWN PARK BLVD
EVANS, GA 308093487
Phone: (706) 854-2500
Fax: (706) 854-2559
Type: Location
241 Meridian Dr
Grovetown, GA 308130260
Phone: (706) 854-2500
Fax: (706) 854-2559
Type: Location
5135 Wrightsboro Rd Ste B
Grovetown, GA 308132803
Phone: (706) 854-2500
Fax: (706) 854-2559
Type: Location
1303 Dantignac St Ste 2600
Augusta, GA 309012796
Phone: (706) 854-2500
Fax: (706) 854-2559
Type: Location
4410 MEDICAL DR STE 540
SAN ANTONIO, TX 782293755
Phone: (210) 575-6240
Fax: (210) 575-6280
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $1,207.
Total Amount is formed as General ($1,207) + Research ($0) + Ownership ($0) = $1,207.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($987).
Total Amount
$1,207
General + Research + Ownership
Payments
57
Total payment records
General Amount
$1,207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $987 |
| Seqirus USA Inc | $87 |
| Merz North America, Inc. | $54 |
| REVANCE THERAPEUTICS, INC. | $32 |
| Boston Scientific Corporation | $17 |
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: 2017-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170425000433 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30809)
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