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

Jill Rae Mattingly, PA-C, MMSC

Individual provider Physician Assistant · NPI 1770795361

Jill Rae Mattingly, PA-C, MMSC is a Physician Assistant in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4500 Hugh Howell Rd Ste 340
Tucker, GA 30084-4723
Phone: (678) 534-1715
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3283 (GA)

Record details

NPI number1770795361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MMSC
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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