Active NPI
Patricia Ann Mitchell, HIS
- Hearing Instrument Specialist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HADS001094
- Practice address
- 3500 Piedmont Rd NE Ste 125
Atlanta, GA 30305-1532 - Phone
- (404) 237-3311
- Fax
- (404) 261-9058
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS3335 | FL | |
| Hearing Instrument Specialist | 237700000X | HADS001094 | GA | Primary |
Addresses
Primary practice location
3500 Piedmont Rd NE Ste 125
Atlanta, GA 30305-1532
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Other practice location 1
160 Clairemont Ave Ste 120
Decatur, GA 30030-2562
Phone (404) 373-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AS3335 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS3335 | FL | MD | Hearing Instrument Specialist |
| HADS001094 | GA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
3500 Piedmont Rd NE
Ste 125
Atlanta, GA 30305
Phone (404) 237-3311
160 Clairemont Ave
Ste 120
Decatur, GA 30030
Phone (404) 373-2411
750 N Commons Dr
Ste 200
Aurora, IL 60504
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1023571775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 PIEDMONT RD NE STE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051532",
"telephone_number": "404-237-3311",
"fax_number": "404-261-9058"
}
],
"practiceLocations": [
{
"address_1": "160 Clairemont Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300302562",
"country_code": "US",
"telephone_number": "404-373-2411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS3335",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "GA",
"license": "HADS001094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AS3335",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.