Byron Tyrell Mathis, PA-C

Physician Assistant · Evans, GA

Individual Active NPI

NPI number 1578038337

Practice location

4720 Washington Rd
Evans, GA 30809-5875
Phone
(706) 650-0111
Fax
(706) 651-1882

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NPI record

NPI
1578038337
Entity type
Individual (Type 1)
Enumeration date
October 9, 2018
Last updated
February 7, 2025
Certified
February 7, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 9011 GA
Medical Physician Assistant 363AM0700X 3107 SC

Mailing address

1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone
(803) 648-0587
Fax
(803) 648-9846

Other practice locations (1)

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

About Byron Mathis

Byron Tyrell Mathis, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4720 Washington Rd, Evans, GA 30809-5875. The NPI number 1578038337 was assigned on October 9, 2018 and the record was last updated on February 7, 2025.

Byron Mathis lists 2 licenses in the registry: #9011 (GA) for Physician Assistant; #3107 (SC) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Byron Tyrell Mathis, PA-C?

The NPI number is 1578038337.

What is the phone number of Byron Mathis?

The phone number listed for the practice location is (706) 650-0111.

Where is Byron Mathis located?

4720 Washington Rd, Evans, GA 30809-5875.

What is the taxonomy code for Byron Mathis?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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