NPI age
6 years
Enumerated 2020-01-28
● Active Type 2 · Organization
B Mata Llc
B Mata Llc is 1 of 57 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Mata Gonzalez
Owner
Last NPPES update
2020-01-28
Source: monthly bulk 2026-05
How this organization compares
Across 57 active family medicine providers in Georgia.
NPI age
6 years
↓ 8 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1631 Atlanta Hwy
Gainesville, GA 305045942
Mailing address
1631 Atlanta Hwy
Gainesville, GA 305045942
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4292 Chamblee Tucker Rd
Tucker, GA 300842103
Authorized official
Byron Oswaldo Mata Gonzalez, MD
Owner
📞 7864274450
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Byron Mata Gonzalez Hospitalist NPI 1326206897
- Erica Parks, PHD, PA-C Physician Assistant NPI 1255844643
- Agustina Westman, NP Nurse Practitioner NPI 1306736756
Specialties
-
Family Medicine PrimaryA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Centro Medico San Lucas
Practice context
Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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