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

Jared Harvey Mathis, PA-C

Individual provider Physician Assistant · NPI 1497908008

Jared Harvey Mathis, PA-C is a Physician Assistant in West Jordan, Utah. Qualified in 2008, 18 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
18
Licensed in
UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9001 S 3200 W
West Jordan, UT 84088-9621
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 W 9000 S, West Jordan, UT 84088-5610 — (801) 569-5520

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7150596-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 71505961206 (UT)

Record details

NPI number1497908008
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2008
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Jordan