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

Individual provider Pediatrics Physician · NPI 1063890200

Jonathan Mathis, MD is a Pediatrics Physician in Gallipolis, Ohio. Practices as a sole proprietor. Licensed in Ohio and South Carolina.

Licensed in
OH, SC
In the registry since
2015
Specialties on file
2
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

100 Jackson Pike
Gallipolis, OH 45631
Phone: (855) 446-5937
Fax: (740) 446-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.133539 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence LL38060 (SC)

Record details

NPI number1063890200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address90 Jackson Pike, Gallipolis, OH 45631-1562

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