Mitzi Collins

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN224889 Issued in GA

Practice address

78 Eagle Glen Dr NE
Cartersville, GA 30121-8081

Phone

(404) 395-0791

NPI assigned

Apr 4, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Infusion Associates of Georgia

  • Infusion Therapy Clinic/Center
  • Cartersville, GA
  • NPI 1952006223
  NPD Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1104521475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 EAGLE GLEN DR NE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218081",
            "telephone_number": "404-395-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 EAGLE GLEN DR NE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218081",
            "telephone_number": "404-395-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MITZI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN224889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Elaine Clough, FNP
• Jessica R Coburn, FNP-C
• Jeannette Chua Cocabo, MD
• Renee' S. Cochran, NP
• Sara Beth Coker, NP-C
• Talley Collins, LPN
• Sherrell Lanae Comeaux
• Christopher Herald Comey, MD
• Community Health Network of Northeast Georgia
• Complete Health Diagnostics, Inc.

• Nurse Practitioner in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.