Active NPI
Jasmine Mutti, MD
- Infectious Disease Physician
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 100435
- Practice address
- 100 Mimosa Dr Ste 1L
Thomasville, GA 31792-6678 - Phone
- (229) 228-2410
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.248009 | OH | |
| Infectious Disease Physician | 207RI0200X | 100435 | GA | Primary |
Addresses
Primary practice location
100 Mimosa Dr Ste 1L
Thomasville, GA 31792-6678
Mailing address
100 Mimosa Dr Ste 1L
Thomasville, GA 31792-6678
Other practice location 1
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 476-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mimosa Dr
Suite 1L
Thomasville, GA 31792-6678
Phone (229) 228-2410
Hospital & facility affiliations
- Archbold Home Health Services
- Archbold Memorial Hospital
- Grady General Hospital
- Memorial Hospital and Manor
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100435 | GA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102
100 Mimosa Dr
Ste 1L
Thomasville, GA 31792
Phone (229) 228-2410
100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141
100 Mimosa Dr
Ste 1M
Thomasville, GA 31792
Phone (229) 584-5640
Organizations & group practices 3
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.
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cairo, GA
- NPI 1013961507
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
-
- Home Health Agency
- Thomasville, GA
- NPI 1942957600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735344000000",
"number": "1063074045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MIMOSA DR STE 1L",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MIMOSA DR STE 1L",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926678",
"telephone_number": "229-228-2410"
}
],
"practiceLocations": [
{
"address_1": "18101 Lorain Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441115612",
"country_code": "US",
"telephone_number": "216-476-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTTI",
"first_name": "JASMINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.248009",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "100435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.