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Deactivated NPI 1164649794 Deactivated / Inactive NPI Female Practitioner

Debra Lynn Mathis , ARNP

Nurse Practitioner - Family • Baker, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Debra Mathis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2007
NPI Deactivation Date January 22, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Debra Mathis, ARNP was a registered Nurse Practitioner - Family practicing in Baker, FL. Throughout an active medical career spanning 19 years, Debra Mathis provided care at the practice location at 1321 GEORGIA AVENUE until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

1321 Georgia Avenue

Baker, FL 325312605

Telephone 8505372700
Fax 8505372702
Associated Practice Facility / Clinic
🏢 Mathis Dream Llc Facility NPI 1164649703

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Baker, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Baker, FL (22518 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License FL ARNP 1427202

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2013

Registered at 1321 GEORGIA AVENUE, BAKER, FL 325312605 (Tel: 8505372700)

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Updated Business Mailing Address August 14, 2013

Registered at 2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 323081550 (Tel: 8503854494)

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Provider Name / Credentials Updated August 14, 2013

Recorded as DEBRA MATHIS, ARNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Nurse Practitioner (License #ARNP 1427202 in FL)

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Initial NPI Registration & Enumeration April 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164649794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2007
Last Update: August 14, 2013
Deactivation Date: January 22, 2026

Mailing Address

2804 Remington Green Cir Ste 2

Tallahassee, FL 323081550

Phone: 8503854494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.