Brian Andrew Mitchell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014443 Issued in GA

Practice address

104 Moores Grove Rd
Winterville, GA 30683-1506

Phone

(706) 742-7000

NPI assigned

Jul 19, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phillip H. Durden, DMD, PC

  • Dentist
  • Winterville, GA
  • NPI 1528233384
  NPD (past)
• Winterville Dental, LLC

  • Dental Clinic/Center
  • Winterville, GA
  • NPI 1235635715
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1255686887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HIAWASSEE AVE.",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011810",
            "telephone_number": "404-374-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MOORES GROVE RD",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306831506",
            "telephone_number": "706-742-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014443",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Jenkins
• KCD Counseling
• Kristin Lee Kibbe, AUD
• Kind Recovery
• L Hubbrd Host Home
• MSM Health Services LLC
• Ralph Emerson Nix II, RPH
• Todd Matthew Owens, PT
• Patriot Medical Transportation, LLC
• Kristen A Paulk Copes, SLP

• General Practice Dentistry in Winterville, GA
• Providers in Winterville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.