Nicole Adair Mathis, OT in Kennesaw, GA - Medicare Occupational Therapy Provider

Nicole Adair Mathis, OT is a medicare enrolled "Occupational Therapist" provider in Kennesaw, Georgia. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Independent Physical Therapy Of Georgia Llc and her current practice location is 600 Chastain Rd Nw Ste 428, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 425-6701.

Nicole Adair Mathis is licensed to practice in Georgia (license number OT008025) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619432036.

Contact Information

	Nicole Adair Mathis, OT
	600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210
	(770) 425-6701
	(770) 425-6703

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Adair Mathis
Gender	Female
Speciality	Occupational Therapy
Experience	6 Years
Location	600 Chastain Rd Nw Ste 428, Kennesaw, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Adair Mathis graduated from medical school in 2018

NPI Data:

NPI Number: 1619432036
Provider Enumeration Date: 02/11/2019
Last Update Date: 04/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0042559379
Enrollment ID: I20210520003132

Medical Identifiers

Medical identifiers for Nicole Adair Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619432036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	12293 (North Carolina)	Secondary
225X00000X	Occupational Therapist	OT008025 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independent Physical Therapy Of Georgia Llc	2961312244	430

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Adair Mathis allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Adair Mathis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Adair Mathis, OT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 682-8840	Nicole Adair Mathis, OT 600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210 Ph: (770) 425-6701

Reviews and Comments

Occupational Therapist in Kennesaw, GA

Erin E Moreno, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4381 Bells Ferry Rd Nw, Kennesaw, GA 30144 Phone: 724-816-1800 Fax: 865-951-7273
Clarissa Renee George, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3745 Cherokee St Nw Ste 6023745, Kennesaw, GA 30144 Phone: 404-914-5123
Elizabeth Pacheco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2950 Cherokee St Nw Ste 500, Kennesaw, GA 30144 Phone: 678-903-5506
Jule G Kagan, MOT-OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2877 Cressington Bnd Nw, Kennesaw, GA 30144 Phone: 770-479-1950
Kathryn Keel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5150 Stilesboro Rd Nw Ste 430, Kennesaw, GA 30152 Phone: 770-218-2300 Fax: 770-218-2201
Elizabeth Poulsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5150 Stilesboro Rd Nw, Suite 430, Kennesaw, GA 30152 Phone: 770-218-2300
Mrs. Rachel Pace Nemati, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491

Nicole Adair Mathis, OT - Medicare Occupational Therapist in Kennesaw, GA