Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Byron Tyrell Mathis, PA-C

Individual provider Medical Physician Assistant · NPI 1578038337

Mr. Byron Tyrell Mathis, PA-C is a Physician Assistant in Evans, Georgia. Qualified in 2018, 8 years ago. Practices with Self Regional Healthcare Partners, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
8
Licensed in
GA, SC
In the registry since
2018
Specialties on file
2
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

4720 Washington Rd
Evans, GA 30809-5875
Phone: (706) 650-0111
Fax: (706) 651-1882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 — (803) 637-3146

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9011 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3107 (SC)

Record details

NPI number1578038337
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing address1021 Silver Bluff Rd, Aiken, SC 29803-5879

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Self Regional Healthcare Partners — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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