Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740729516 Individual Practitioner Female Practitioner

Lauren Mathis , NP

Nurse Practitioner - Pediatrics • Evans, GA

Professional Overview & Biography Verified Profile Summary

Lauren Mathis, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Evans, GA. Practice services are available at 411 TOWN PARK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 Town Park Blvd

Evans, GA 308093487

Telephone 7068542500
Fax 7068542559
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Evans, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Evans, GA (929 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

CMS Verified: 2025-10-27
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN214012

Definition to come...

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA RN214012

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License GA RN214012

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003187586D (GA)
Medicaid State Provider ID
003187586E (GA)
Medicaid State Provider ID
003187586F (GA)

Secondary Practice Locations

241 Meridian Dr

Grovetown, GA 308130260

Phone: 7068542500

5135 Wrightsboro Rd Ste B

Grovetown, GA 308132803

Phone: 7068542500

1303 Dantignac St Ste 2600

Augusta, GA 309012796

Phone: 7068542500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Leslie Mills , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1043380777

Registered Nurse, Certified Pediatric Nurse Practitioner

NPI 1194722470

Doctor of Medicine (M.D.)

NPI 1275537680

Doctor of Medicine (M.D.)

NPI 1346244795

Doctor of Medicine (M.D.)

NPI 1356344055

Doctor of Medicine (M.D.)

NPI 1407850845

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2025

Nurse Practitioner (License #RN214012 in GA)

📍
Updated Practice Location January 24, 2024

Registered at 411 TOWN PARK BLVD, EVANS, GA 308093487 (Tel: 7068542500)

📍
Updated Business Mailing Address January 24, 2024

Registered at 411 TOWN PARK BLVD, EVANS, GA 308093487 (Tel: 7068542500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2024

Pediatrics (License #RN214012 in GA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2020

Nurse Practitioner (License #RN214012 in GA)

📍
Updated Practice Location June 23, 2020

Registered at 4410 MEDICAL DR STE 540, SAN ANTONIO, TX 782293755 (Tel: 2105756240)

📍
Updated Business Mailing Address June 23, 2020

Registered at 4410 MEDICAL DR STE 540, SAN ANTONIO, TX 782293755 (Tel: 2105756240)

NPI Profile Active February 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2017

Registered at 1120 15TH ST, BA 8300A, AUGUSTA, GA 309120004 (Tel: 7067217608)

📍
Updated Business Mailing Address February 14, 2017

Registered at 1120 15TH ST, BA 8300A, AUGUSTA, GA 309120004 (Tel: 7067217608)

👤
Provider Name / Credentials Updated February 14, 2017

Recorded as LAUREN MATHIS, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2017

Nurse Practitioner (License #RN214012 in GA)

🟢
Initial NPI Registration & Enumeration February 14, 2017

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: 1740729516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2017
Last Update: October 27, 2025
Sole Proprietor: No

Mailing Address

411 Town Park Blvd

Evans, GA 308093487

Phone: 7068542500

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.