Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Miss Ellisa A Mathis, FNP'C

Family Nurse Practitioner in Waycross, GA · enumerated 2006 · practices at Southeast Georgia Primary Care.

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

National Provider Identifier

1801903596

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Miss Ellisa A Mathis

Credential FNP'C

Sex Female

Practice address 409 Uvalda St, Waycross, GA, 31501

Phone (912) 283-1359

Fax (912) 283-1362

Enumeration date Aug 25, 2006

Last updated in NPPES Oct 30, 2009

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN068928 (GA) Primary

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

What specialty is Ellisa Mathis?

Ellisa Mathis is registered in NPPES with the primary taxonomy of Family Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Southeast Georgia Primary Care Family Medicine Physician · Waycross, GA NPI 1053429688 Leslie Taylor Family Nurse Practitioner · Waycross, GA NPI 1508988098 Kala Hodges Family Nurse Practitioner · Waycross, GA NPI 1093595761

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-30.