Patricia Mistretta, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001896 Issued in GA

Practice address

7901 Veterans Pkwy
Columbus, GA 31909-1723

Phone

(706) 321-1223

NPI assigned

Jun 30, 2006

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sterling Emergency Services of the Southeast Inc

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1992763627

  Medical

  NPD (past)
• U.S. Healthworks Medical Group of Georgia, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1376523175
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1063441541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091723",
            "telephone_number": "706-321-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRETTA",
        "first_name": "PATRICIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "001896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jada Minor, RBT
• Miranda Y. Edwards, M.D LLC
• Ashley Miranda
• Gina Mirza, PHARMD
• Chris Misamore
• Audrey Marcel Mitchell-Carpenter, NP
• Diane L. Mitchell, P.A.
• Donna Betty Mitchell, PMHNP
• Jamillah Mitchell
• Mario Mitchell

• Medical Physician Assistant in Columbus, GA
• Providers in Columbus, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.