Active NPI
Emily Spooner Mitchell
- Marriage & Family Therapist
- Sylvester, GA
National Provider Identifier
1073759106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 205 N Main St
Sylvester, GA 31791-2178 - Phone
- (229) 777-2171
- NPI assigned
- Dec 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
205 N Main St
Sylvester, GA 31791-2178
Mailing address
1120 W Broad Ave
Albany, GA 31707-4397
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260325003433 | GA | Practitioner - Marriage and Family Therapist | 0749765931 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Area CSB | Past | Accepting new patients | |
| Albany Area Community SVC. Board | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Albany, GA
- NPI 1063464212
-
- Public Health or Welfare Agency
- Albany, GA
- NPI 1235293192
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christopher Dennis MD PLLC
Practice addresses (Care Compare)
11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1073759106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W BROAD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317074397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MAIN ST",
"city": "SYLVESTER",
"state": "GA",
"postal_code": "317912178",
"telephone_number": "229-777-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "EMILY",
"middle_name": "SPOONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.