Antjuan D Mitchell, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR010004 Issued in GA

Practice address

5835 Campbellton Rd SW Ste 204
Atlanta, GA 30331-8014

Phone

(404) 349-3601

Fax

(404) 393-0691

NPI assigned

Mar 7, 2018

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1124520937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW STE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318014",
            "telephone_number": "404-349-3601",
            "fax_number": "404-393-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELLTON RD SW STE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318014",
            "telephone_number": "404-349-3601",
            "fax_number": "404-393-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANTJUAN",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Jackson Mitchell, M.D.
• Aisha Mitchell, D.C.
• Alexandra Mitchell
• Alexis Denice Mitchell, CRNP
• Alicia Kaye Mitchell, M.S., BCBA
• Avery Mitchell, MA, LPC
• Bianca Mitchell, APRN
• Bruce Leroy Mitchell, M.D.
• Catherine Mitchell, MSN, RN, CPNP
• Cydnie Mitchell

• Rehabilitation Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.