Davin Gerrard Mitchell (NPI# 1861669517, PAC ID# 2668521857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1861669517 |
| PAC ID by PECOS | 2668521857 |
| Professional Enrollment ID | I20100810000290 |
| Full Name | Davin Gerrard Mitchell |
| Address |
1075 Lafayette Pkwy Suite 100 Lagrange GA 30241-3584 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| Address | Phone | Organization |
|---|---|---|
| 1075 Lafayette Pkwy, Suite 100, Lagrange, GA 30241-3584 | ||
| 1075 Lafayette Pkwy, Suite 120, Lagrange, GA 30241-3584 | 7067566017 | MED VENTURES MRI, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1075 LAFAYETTE PKWY SUITE 100 |
| City | LAGRANGE |
| State | GA |
| Zip | 30241-3584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Anthony Martin | Podiatry | Ankle and Foot Centers of Georgia, LLC | 1075 Lafayette Pkwy, Suite 200, Lagrange, GA 30241-3584 |
| Richard P Hollstrom Jr. | Podiatry | Med Ventures Mri, LLC | 1075 Lafayette Pkwy, Suite 120, Lagrange, GA 30241-3584 |
| Tracy W Flory | Nurse Practitioner | Lafayette Neurology, PC | 1075 Lafayette Pkwy, Suite 210, Lagrange, GA 30241-3584 |
| Lowell Evan Michael | Pathology | Surgical and Cosmetic Dermatology, P. C. | 1075 Lafayette Pkwy, Suite 240, Lagrange, GA 30241-3584 |
| Takia M Oglesby | Pain Management | Lafayette Neurology, PC | 1075 Lafayette Pkwy, Suite 210, Lagrange, GA 30241-3584 |
| Robert Greer | Neurology | Med Ventures Mri, LLC | 1075 Lafayette Pkwy, Suite 120, Lagrange, GA 30241-3584 |
| Amy Purdy | Physical Therapy | Med Ventures Physical Therapy LLC | 1075 Lafayette Pkwy, Suite 220, Lagrange, GA 30241-3733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chantel L Colmer | Chiropractic | Back To Life Chiropractic Center Inc | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 |
| Tammi L Kaminsky | Chiropractic | Back To Life Chiropractic Center Inc | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 |
| Sandeep Singh | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Olumide Ajayi | Family Medicine | Wellstar Medical Group, LLC | 1497 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Cynthia M Bokor | Physician Assistant | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Ferdinand Q Alcaide | Nephrology | Renal Associates of Lagrange LLC | 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 |
| Carrie Whitehead | Nurse Practitioner | Renal Associates of Lagrange LLC | 1300 Lafayette Pkwy E, Building D, Lagrange, GA 30241-2610 |
| John Andrews | Psychiatry | 321 Greenville St, Lagrange, GA 30241-3231 | |
| Eric A Crouch | Chiropractic | 413 Greenville St, Lagrange, GA 30241-3360 | |
| Syed A W Ahmed | Internal Medicine | 142 Old Mill Rd, Lagrange, GA 30241-6704 | |
| Find all physicians in zip 30241 | |||
| City | LAGRANGE |
| Zip Code | 30241 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LAGRANGE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Davin Gerrard Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.