NPIMap

Individual provider Active NPI

Thomas J. Mizell, M.D.

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1205829561
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040741 Issued in GA
Practice address
2801 N Decatur Rd
Suite 320
Decatur, GA 30033-5949
Phone
(404) 296-3111
Fax
(678) 686-9522
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040741 GA Primary

Addresses

Primary practice location

2801 N Decatur Rd
Suite 320
Decatur, GA 30033-5949

Mailing address

2801 N Decatur Rd
Suite 320
Decatur, GA 30033-5949
Phone (404) 296-3111

Other identifiers 1

IdentifierTypeStateIssuer
055003002AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000585 GA Practitioner - Internal Medicine 2264609114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Center for Medicine II PCGroup PAC ID 5395914949, 6 clinicians

Practice addresses (Care Compare)

2801 N Decatur Rd
Suite 300
Decatur, GA 30033-5987
Phone (404) 296-3111

Hospital & facility affiliations

  • Visiting Nurse Health System, Inc Home health agency, Marietta, GA, CCN 117000
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Aveanna Home Health Home health agency, Duluth, GA, CCN 117336
  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as apm
Quality
79.78
Promoting interoperability
93.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Center for Medicine II PC CurrentSince Feb 1, 1999 Accepting new patients

Locations

2801 N Decatur Rd
Ste 300
Decatur, GA 30033
Phone (404) 296-3111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFCBA
  • Direct secure messaging: thomas.mizell@acfm.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1205829561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 320",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-3111",
            "fax_number": "678-686-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 320",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-3111",
            "fax_number": "678-686-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055003002A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.