Search › North Carolina › 103TM1800X
Theodore Mataxis, M.A., L.P.A
NPI 1629109954 · on the registry since 2007 · sole proprietor
Practice
- Address
- 318 N Main St
Troy, NC 27371 - Phone
- (910) 576-1188
- Fax
- (910) 576-1182
- Organisation at this address
- National Mentor Healthcare Llc
National Mentor Healthcare, Llc
National Mentor Health Care Llc
Pinnacle Family Services Of North Carolina LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TM1800X
103TM1800X
- Also registered as
- 103T00000X
103TB0200X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina