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

Mia M Mathewson, MD

Individual provider Anesthesiology Physician · NPI 1194947630

Mia M Mathewson, MD is an Anesthesiology in Lawrenceville, Georgia. Qualified in 2004, 22 years ago. Licensed in Georgia and Texas.

Years since qualifying
22
Licensed in
GA, TX
In the registry since
2007
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

575 Professional Dr Ste 165
Lawrenceville, GA 30046-3333
Phone: (770) 277-3056
Fax: (855) 204-5244
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 077658 (GA)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence N4578 (TX)

Record details

NPI number1194947630
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESApril 27, 2017
Mailing addressPo Box 551420, Fort Lauderdale, FL 33355-1420

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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