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

K-Mata LLC

Organization Family Medicine Physician · NPI 1790655108

K-Mata LLC is a Family Medicine Physician in Tucker, Georgia. Registered with an NPI since 2025.

In the registry since
2025
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

4292 Chamblee Tucker Rd
Tucker, GA 30084-2103
Phone: (770) 718-1517
Fax: (770) 718-1518
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790655108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Byron Mata Gonzalez — President · (770) 718-1517
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address3899 Grassland Loop, Lake Mary, FL 32746-4120

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