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

Dr. Ronald Edwin Mattison, MD

Individual provider Surgery Physician · NPI 1396723748

Dr. Ronald Edwin Mattison, MD is a General Surgery in Memphis, Tennessee. Graduated from Medical University of South Carolina College of Medicine in 1993, 33 years ago. Practices with The Philip Israel Breast Center PC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia, Illinois and Tennessee.

Years since qualifying
33
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA, IL, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6005 Park Ave Ste 700
Memphis, TN 38119-5202
Phone: (901) 527-3391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 45847 (TN)
Surgery Physician Taxonomy 208600000X · Licence 048275 (GA)
Surgery Physician Taxonomy 208600000X · Licence 036118870 (IL)

Record details

NPI number1396723748
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 5, 2006
Last updated in NPPESSeptember 15, 2010
Mailing address6005 Park Ave, Suite 700, Memphis, TN 38119-5202

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice The Philip Israel Breast Center Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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