K-Mata LLC
NPI 1790655108 · Family Medicine Physician · Tucker, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
K-Mata LLC is a Family Medicine Physician organization in Tucker, GA (NPI 1790655108).
Provider details
- NPI number
- 1790655108
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Byron Mata Gonzalez, President(770) 718-1517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is K-Mata LLC's NPI number?
- K-Mata LLC's National Provider Identifier (NPI) is 1790655108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is K-Mata LLC?
- K-Mata LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is K-Mata LLC located?
- K-Mata LLC's practice location on file with NPPES is 4292 Chamblee Tucker Rd, Tucker, GA 30084-2103.
- What is K-Mata LLC's phone number?
- The practice phone number listed in the NPPES registry for K-Mata LLC is (770) 718-1517.
- Does K-Mata LLC accept Medicare?
- K-Mata LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for K-Mata LLC?
- The authorized official listed on K-Mata LLC's NPPES record is Byron Mata Gonzalez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is K-Mata LLC's NPI active?
- Yes — K-Mata LLC's NPI (1790655108) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.