Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

B Mata LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1295366292

B Mata LLC is a Geriatric Medicine (Family Medicine) Physician in Gainesville, Georgia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1631 Atlanta Hwy
Gainesville, GA 30504-5942
Phone: (770) 718-1517
Fax: (770) 718-1518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4292 Chamblee Tucker Rd, Tucker, GA 30084-2103 — (770) 718-1517

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1295366292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Byron Mata Gonzalez — Owner · (786) 427-4450
Other names Centro Medico San Lucas
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address1631 Atlanta Hwy, Gainesville, GA 30504-5942

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