Jared Mitchell MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JARED MITCHELL MD PC

Doing business as

Jared Mitchell MD PC

Practice address

1430 Harper St Ste B
Augusta, GA 30901-0619

Phone

(706) 724-5451

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Finley

Title

Practice Administrator

Phone

(706) 724-5451

Specialties & licenses 1

Addresses

Other names 1

• Jared Mitchell MD PC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Wyman Mitchell, M.D. PC

  • Surgery Physician
  • Augusta, GA
  • NPI 1770711343
  Medicare reassignment NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1083283915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HARPER ST STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010619",
            "telephone_number": "706-724-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HARPER ST STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010619",
            "telephone_number": "706-724-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED MITCHELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-724-5451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jared Mitchell MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce David Janiak, MD
• John Edward Janik, MD
• Michael J Janik, CRNA
• Adrian Stanford Janit, PH.D.
• Janus RX LLC
• Amrita Jariwala
• Paige Alison Jarrard, RBT
• Jada Jasper
• Nicole Jatho Swanson, MA, OTR/L
• Sean P Javaheri, D.O.

• Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.