SAMANTHA MITCHELL (NPI# 1144560137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144560137 |
| Entity Type | Individual |
| Full Name | SAMANTHA MITCHELL |
| Credential | AGPCNP-BC |
| Practice Address |
4480 S Cobb Dr Se Ste 503 Smyrna GA 30080-6990 |
| Mailing Address |
3728 Kelvin Ave Fort Worth TX 76133-2946 |
| Practice Telephone | 4049461800 |
| Mailing Telephone | 6825520594 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP138426 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9888 Bissonnet St, #670, Houston, TX 770368247 | 8325634970 | 7137741842 |
| 3728 Kelvin Ave, Fort Worth, TX 761332946 | 6825520594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1629485339 | Samantha Mitchell | Occupational Therapist | 1217 Agnew Dr, Drexel Hill, PA 19026-1809 | 2014-07-14 |
| 1063795318 | Samantha Mitchell | Occupational Therapy Assistant | 1089 Alice Dr Ste A, #158, Sumter, SC 29150-2401 | 2011-09-22 |
| 1679896476 | Samantha Elaine Mitchell | Pharmacist | 5975 Weddington Monroe Road, Matthews, NC 28105 | 2010-03-08 |
| 1649834961 | Samantha Mitchell | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2019-04-23 |
| 1043782725 | Samantha Arlena-nicole Mitchell | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-12-19 |
| 1194212001 | Samantha Ashley Mitchell | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 | 2018-04-16 |
| 1225421563 | Samantha Mitchell | Occupational Therapist | 16w361 S Frontage Rd, Ste 131, Burr Ridge, IL 60527-5830 | 2015-03-11 |
| 1558765461 | Samantha Mitchell | Specialist/Technologist | 1113 Main St, Readfield, ME 04355 | 2014-10-21 |
| 1568862373 | Samantha Jane Mitchell | Marriage & Family Therapist | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-08-28 |
| Street Address |
4480 S COBB DR SE STE 503 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255604419 | Ellen Lewis Consulting Inc | Nurse Practitioner | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746009 | Jummai Folashade Akinrinmade | Nurse Practitioner | 5290 Hidden Valley Ln, Cumming, GA 30028-7024 | 2020-09-25 |
| 1396350997 | Ellen Allen | Nurse Practitioner | 8040 Highway 54, Sharpsburg, GA 30277-2112 | 2020-09-10 |
| 1588277867 | Saleta Anica Brogdon | Nurse Practitioner | 10 Muirfield Dr, Covington, GA 30016-6536 | 2020-08-26 |
| 1043828106 | Shonkeisha Byrd | Nurse Practitioner | 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 | 2020-07-15 |
| 1558982272 | Irene Kamau | Nurse Practitioner | 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 | 2020-05-05 |
| 1891324133 | Branette Young | Nurse Practitioner | 1120 Lehavre Ct, Hampton, GA 30228-3022 | 2020-04-08 |
| 1851938559 | Sandra Holloway | Nurse Practitioner | 607 Bethany St, Sparks, GA 31647-7139 | 2019-12-02 |
| 1013550508 | Monica Smart Mills | Nurse Practitioner | 8315 Champion Trl, Fairburn, GA 30213-4739 | 2019-10-28 |
| 1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
| 1922661800 | Dorcus Healthcare Services LLC | Nurse Practitioner | 105 Greystone Dr, Guyton, GA 31312-5548 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.