Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bradley Lamar Mathis

Individual provider Physician Assistant · NPI 1578371001

Bradley Lamar Mathis is a Physician Assistant in Dalton, Georgia. Qualified in 2024, 2 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

1525 Chattanooga Rd
Dalton, GA 30720-8379
Phone: (706) 529-7124
Fax: (706) 529-7126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14198 (GA)

Record details

NPI number1578371001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 30, 2024
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Southeastern Emergency Physicians LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 786 clinicians in the practice; 12 are shown here.

Other providers in Dalton