NPI age
6 years
Enumerated 2020-04-02
● Active
Type 1 · Individual
Corwin Oswald Demattos
Demattos is 1 of 13 nurse practitioner providers in Grayson and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
6 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Practice location
1637 Atlanta Hwy Suite A
Grayson, GA 300173001
Mailing address
1637 Atlanta Hwy Suite A
Grayson, GA 300175942
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 054674999 | GEORGIA IDENTIFICATION CARD |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.