P Praxis·MD
● Active Type 1 · Individual

Jennie Mathen, NP-C

Nurse Practitioner·Lilburn, GA· NPI 1699132787 · Enumerated 2016 · 10 years on NPI
Mathen is 1 of 37 nurse practitioner providers in Lilburn and 1 of 8826 in Georgia.
NPI age
10 years
Enumerated 2016-01-21
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-01Enumerated in NPPES
2016 2026

Where they practice

Practice location
4120 Five Forks Trickum Rd Sw Ste 105
Lilburn, GA 300478975
📞 4047780421
Mailing address
1897 Innsfail Dr
Snellville, GA 300782525
📞 6784583820

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN224236 taxonomy 363LF0000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #RN224236 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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