Bradley Lamar Mathis
NPI 1578371001ActiveIndividual· Physician Assistant· Dalton, GA
Physician Assistant with Southeastern Emergency Physicians LLC, practicing in Dalton, Georgia. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Affiliate of Vitruvian Health as a hospital affiliation.
Overview
| NPI | 1578371001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 30, 2024 |
| Last updated in NPPES | Sep 14, 2026 |
| Certified by provider | Sep 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14198 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA); Practitioner - Physician Assistant (SC); Practitioner - Physician Assistant (TN) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
Hospital affiliation
- Affiliate of Vitruvian HealthCleveland, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 37 physician assistants in Dalton · All physician assistants in Georgia