Kevin S Mitchell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010643 Issued in GA

Practice address

300 Northlake Dr
Peachtree City, GA 30269-3524

Phone

(770) 487-8298

Fax

(770) 487-5372

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Coweta Dentistry Sda PC

  dba Coweta Dentistry Associates

  • General Practice Dentistry
  • Newnan, GA
  • NPI 1164064481
  NPD (past)
• Coweta Dentistry Sda PC

  dba Coweta Dentistry Associates

  • General Practice Dentistry
  • Newnan, GA
  • NPI 1689118127
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346219797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTHLAKE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693524",
            "telephone_number": "770-487-8298",
            "fax_number": "770-487-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTHLAKE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693524",
            "telephone_number": "770-487-8298",
            "fax_number": "770-487-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KEVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind in Bloom Counseling LLC
• Kristin C Mink, PA-C
• Misfit Minds Therapy and Therapy Tools
• Diane Marie Mitchell, MS, NCC
• Jacob Anderson Mitchell
• Kristian Mitchell
• Quinita Mitchell
• Mja Chiropractic, Inc (Autera Health Center)
• Eric D Mobley, DMD
• Wayne L Monson, ED D

• General Practice Dentistry in Peachtree City, GA
• Providers in Peachtree City, 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.