Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Fallon Andrea Mattis, M.D.

Family Medicine Physician in South Boston, VA · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558686345

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Registry record

Entity type Individual (Type 1)

Name Fallon Andrea Mattis

Credential M.D.

Sex Female

Practice address 101 Aubreys Loop, Sentara Halifax Family Medicine, South Boston, VA, 24592

Phone (646) 835-9001

Fax (646) 835-9001

Enumeration date Apr 5, 2010

Last updated in NPPES Oct 30, 2019

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License R7061 (TX) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 63188 (MN) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036144488 (IL) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2017034134 (MO) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 10501937-1205 (UT) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 273617-1 (NY) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 25MA10713600 (NJ) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101257845 (VA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1558686345	Other	NY	FAMILY MEDICINE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Fallon Mattis practice?

The practice location on file with NPPES is in South Boston, VA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Fallon Mattis?

The National Provider Identifier (NPI) for Fallon Mattis is 1558686345, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-30.