Shafaunis Mitchell

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006979 Issued in GA

Practice address

100 Hamilton Pointe Dr Ste 115
Byron, GA 31008-6271

Phone

(478) 845-3520

Fax

(478) 956-0958

NPI assigned

Dec 10, 2019

Last updated

Dec 10, 2019By the provider in NPPES

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middle Georgia Family RehabGroup PAC ID 5395971402, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Georgia Family Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Byron, GA
  • NPI 1245672724

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Middle Georgia Family Rehab

  • Health Maintenance Organization
  • Byron, GA
  • NPI 1366844367
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1184261067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1552",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310081552",
            "telephone_number": "478-956-4916",
            "fax_number": "478-956-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAMILTON POINTE DR STE 115",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086271",
            "telephone_number": "478-845-3520",
            "fax_number": "478-956-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5021 Mercer University Dr Ste D2",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312106228",
            "country_code": "US",
            "telephone_number": "478-845-3520",
            "fax_number": "478-621-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHAFAUNIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherie McGee
• Medepress Diagnostics Laboratories
• Middle Georgia Family Rehab
• Middle Georgia Family Rehab
• Ashantye Mills, CMA CPT
• Mohmed Asim Momin, PHARMD
• Sergeleen J Moore
• Melissa Murray, LCSW
• Alanna E Newman, LCSW
• Thomas Hoang Nguyen, MD

• Occupational Therapist in Byron, GA
• Providers in Byron, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.