Joseph Richard Mitchell, SA-C

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

03-235 Issued in NU

Practice address

2631 Rocky Dr
Rocky Face, GA 30740-9095

Phone

(706) 277-2486

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275669491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 ROCKY DR",
            "city": "ROCKY FACE",
            "state": "GA",
            "postal_code": "307409095",
            "telephone_number": "706-277-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 ROCKY DR",
            "city": "ROCKY FACE",
            "state": "GA",
            "postal_code": "307409095",
            "telephone_number": "706-277-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": "03-235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Rivers Community Service Board
• Highland Rivers Community Service Board
• Roddy Paul Ingraham, M.D.
• Penny Denise Jackson
• Mill Creek Center P.C.
• Taylor Mitchell, PHARMD
• Cassie Patt, IHP
• Deborah Lynn Rayner
• Diane Ryland, CRNA
• Carmen Warren Shepard, LPC

• Surgical Technologist in Rocky Face, GA
• Providers in Rocky Face, GA by specialty
• Surgical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.