DR. BARBARA GRADY MITCHELL (NPI# 1902012487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902012487 |
| Entity Type | Individual |
| Full Name | DR. BARBARA GRADY MITCHELL |
| Credential | DDS |
| Practice Address |
105 Carnegie Place Suite 109 Fayetteville GA 30214 |
| Mailing Address |
105 Carnegie Pl Suite 109 Fayetteville GA 30214-3980 |
| Practice Telephone | 7704602120 |
| Practice Fax Number | 7704602215 |
| Mailing Telephone | 7704602120 |
| Mailing Fax Number | 7704602215 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011255 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646183 | Barbara Sue Mitchell | Technician | 315 Valley Ave, Rainelle, WV 25962-1469 | 2020-10-14 |
| 1447449772 | Barbara Louise Mitchell | Counselor | 51 East 42 Street, Suite 407, New York City, NY 10017 | 2007-10-23 |
| 1013034123 | Barbara Marie Mitchell | Occupational Therapy Assistant | 185 School House Rd, Boyertown, PA 19512-7915 | 2007-03-23 |
| 1639258270 | Barbara A Mitchell | Nurse Anesthetist, Certified Registered | Lake Cumberland Regional Hosptial, 305 Langdon St, Somerset, KY 42503 | 2006-11-03 |
| 1730175068 | Barbara Carlton Mitchell | Internal Medicine | 3401 Medical Park Dr, Suite 105, Mobile, AL 36693-3318 | 2005-09-22 |
| 1659919934 | Barbara Lynn Mitchell | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2019-12-17 |
| 1104360270 | Barbara Mitchell | Hearing Instrument Specialist | 4951 Tamiami Trl N, Naples, FL 34103-3067 | 2016-12-08 |
| 1467906271 | Barbara Mitchell | Nurse Practitioner | 804 Service Rd, A217, East Lansing, MI 48824-7015 | 2016-08-09 |
| 1164889820 | Barbara Mitchell | Massage Therapist | 2243 Jordan Ave, Juneau, AK 99801-8050 | 2016-01-25 |
| 1629459094 | Barbara Mitchell | Counselor | 70 S River St, Aurora, IL 60506-5185 | 2015-06-11 |
| Street Address |
105 CARNEGIE PLACE SUITE 109 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1972151439 | Ikenna K Okons | Dentist | 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 | 2019-08-28 |
| 1114488079 | Bianca Kristina Adams | Dentist | 207 Forest Creek Dr, Fayetteville, NC 28303-5496 | 2019-03-25 |
| 1194226506 | Michael E. Carter, Dds, Pllc | Dentist | 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 | 2018-02-22 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1548781107 | Christopher Heard | Dentist | 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 | 2017-07-03 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1710415229 | Alan Kuo | Dentist | 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 | 2017-05-28 |
| 1508304866 | Karan G Mirchandani | Dentist | 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 | 2017-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.