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

Mary Stephens Mathis, PA-C

Individual provider Physician Assistant · NPI 1053446690

Mary Stephens Mathis, PA-C is a Physician Assistant in Saint Johns, Florida. Qualified in 2006, 20 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2007
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

1310 County Road 210 W
Saint Johns, FL 32259
Phone: (904) 824-4407
Fax: (904) 390-7459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103761 (FL)

Record details

NPI number1053446690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESAugust 15, 2023
Certification dateAugust 11, 2023
Mailing addressPo Box 746638, Atlanta, GA 30374-6638

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Saint Johns