Individual provider Active NPI

Jonathan Mitchell, CRNA

  • Certified Registered Nurse Anesthetist
  • Stockbridge, GA
National Provider Identifier
1033375696
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN466160 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1053
Fax
(678) 604-5548
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN466160 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

909 Eagles Landing Pkwy
Suite 140-214
Stockbridge, GA 30281-7247
Phone (678) 604-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000564 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173690278 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians
Vertex Anesthesia Associates LLCGroup PAC ID 8022547306, 16 clinicians
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

226 E College St
Suite a
Griffin, GA 30224-4348
Phone (678) 987-1490

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

6326 Peake Rd
Macon, GA 31210-3960
Phone (803) 252-7979

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN466160GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Greenland Anesthesia Management, LLC CurrentSince Mar 31, 2021 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Walton Anesthesia Associates, PC CurrentSince Nov 1, 2017 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2023 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2023 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Mar 1, 2020 Accepting new patients
Sweet Dreams Nurse Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2025 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jul 1, 2025 Accepting new patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2016 Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Henry Anesthesia Associates LLC Past Accepting new patients

Locations (25 of 47)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (770) 270-5229

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

2400 Bellevue Rd
Ste 17
Dublin, GA 31021
Phone (478) 274-8600

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1033375696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 EAGLES LANDING PKWY",
            "address_2": "SUITE 140-214",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817247",
            "telephone_number": "678-604-1053",
            "fax_number": "678-604-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1053",
            "fax_number": "678-604-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN466160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.