Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie L Mathis, FNP-C

Individual provider Family Nurse Practitioner · NPI 1730330101

Stephanie L Mathis, FNP-C is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2002, 24 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2008
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

750 Townpark Lake Kaiser Permanente Townpark Comprehensive Medical Ctr
Kennesaw, GA 30144
Phone: (770) 514-5401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 115936 (GA)

Record details

NPI number1730330101
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 3, 2008
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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