Healthcare Provider Details

I. General information

NPI: 1467344358
Provider Name (Legal Business Name): MATTER HEALTH MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 BAY DR N
BRADENTON BEACH FL
34217-2334
US

IV. Provider business mailing address

1131 4TH AVE S STE 210
NASHVILLE TN
37210-2737
US

V. Phone/Fax

Practice location:
  • Phone: 615-570-2330
  • Fax:
Mailing address:
  • Phone: 615-570-2330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SEASON PENNINGTON
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 615-570-2330