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

Kalie Deann Mathis, NP-C

Individual provider Pediatric Nurse Practitioner · NPI 1679248124

Kalie Deann Mathis, NP-C is a Nurse Practitioner in Waycross, Georgia. Qualified in 2021, 5 years ago. Practices with Memorial Satilla Specialists, LLC, a 19-clinician group and works from 2 locations. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

505 City Blvd
Waycross, GA 31501-8003
Phone: (912) 490-2229
Show map & directions

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

Additional practice locations (1)

  • 1701 Boulevard Sq Ste D, Waycross, GA 31501-8022 — (912) 387-0445

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN279071 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN279071 (GA)

Record details

NPI number1679248124
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Memorial Satilla Specialists, Llc — 19 clinicians
Accepts Medicare assignment Not indicated

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