Doctor profile · Federal record

Dr. Nicole Mathis, OT

Occupational Therapist (CMS: Occupational Therapist in Private Practice) · Occupational Therapist · Kennesaw, GA

  • NPI 1619432036
  • Accepts Medicare
  • 8 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
600 Chastain RD Nw Ste 428
Kennesaw, GA 301443210
(770) 425-6701
fax (770) 425-6703
Additional location
207 E Meadow RD Ste 3
Eden, NC 272883469
(336) 627-3771
fax (336) 627-3777
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 352425424

Credentials & registration

NPPES · NUCC
NPI registered
February 2019 — 7 yrs on file
Profile last updated
April 29, 2021
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
225X00000X — NUCC code
State licenses (2)
Georgia #OT008025 · North Carolina #12293

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1619432036. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,601
Distinct HCPCS
6
Medicare allowed
$42,831
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 602 35 $23
97530 Therapy procedure using functional activities 435 35 $36
97140 Therapy procedure using manual technique, each 15 minutes 270 29 $21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 199 21 $26
97150 Therapy procedure in a group setting 76 15 $15
97166 Evaluation for occupational therapy, typically 45 minutes 19 19 $92

In context: peer comparison

Among 2 peers in Kennesaw Occupational Therapist, average services per provider: 239. This provider delivers 6.7× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Nicole Mathis's medical specialty?
Dr. Nicole Mathis practices Occupational Therapist in Kennesaw, GA.
Where does Dr. Nicole Mathis practice?
Dr. Nicole Mathis practices at 600 Chastain RD Nw Ste 428, Kennesaw, GA 301443210. Office phone: 7704256701.
What is Dr. Nicole Mathis's NPI?
Dr. Nicole Mathis's National Provider Identifier (NPI) is 1619432036, issued by NPPES.
Does Dr. Nicole Mathis accept Medicare assignment?
Yes. Dr. Nicole Mathis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Mathis commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.