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

Colleen James Mattocks, DO

Individual provider Family Medicine Physician · NPI 1134387830

Colleen James Mattocks, DO is a Family Practice in Roanoke, Virginia. Qualified in 2008, 18 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina and Virginia.

Years since qualifying
18
Licensed in
SC, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3707 Brambleton Ave
Roanoke, VA 24018-3658
Phone: (540) 725-7800
Fax: (540) 725-7849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102202851 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 37742 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134387830
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 29, 2008
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address3707 Brambleton Ave, Roanoke, VA 24018-3658

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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