Organization Active NPI

C E Mitchell Services Foundation

  • Community/Behavioral Health Agency
  • Douglasville, GA
National Provider Identifier
1114877347
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
C E MITCHELL SERVICES FOUNDATION
Practice address
3379 Highway 5 Ste L
Douglasville, GA 30135-2377
Phone
(678) 653-9256
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Alexis Bridges-Madojemu
Title
Founder & Executive Director
Phone
(256) 457-1685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3379 Highway 5 Ste L
Douglasville, GA 30135-2377

Mailing address

3379 Highway 5 Ste L
Douglasville, GA 30135-2377
Phone (678) 653-9256

National Provider Directory

National Provider Directory

Locations

3379 Highway 5
Ste L
Douglasville, GA 30135
Phone (678) 653-9256

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1114877347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 HIGHWAY 5 STE L",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352377",
            "telephone_number": "678-653-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 HIGHWAY 5 STE L",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352377",
            "telephone_number": "678-653-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C E MITCHELL SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "BRIDGES-MADOJEMU",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-457-1685"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.