Individual provider Active NPI

Alexis Denice Mitchell, CRNP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1356851406
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN298221 Issued in GA
Practice address
3800 Princeton Lakes Pkwy SW
Atlanta, GA 30331-5580
Phone
(678) 732-1500
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-131541 AL
Nurse Practitioner 363L00000X RN298221 GA Primary

Addresses

Primary practice location

3800 Princeton Lakes Pkwy SW
Atlanta, GA 30331-5580

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

1201 11th Ave S
Birmingham, AL 35205-3423
Phone (205) 934-3411

Other practice location 2

1800 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 996-4480

Other practice location 3

735 Piedmont Ave NE
Atlanta, GA 30308-1416
Phone (470) 639-6592

Other names 1

  • Alexis Denice Mitchell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180201001983 AL Practitioner - Nurse Practitioner 3072873512 Reassigns benefits to 1 organization
I20210222002312 GA Practitioner - Nurse Practitioner 3072873512 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

100 S Peachtree Pkwy
Peachtree City, GA 30269-1705
Phone (678) 732-1522

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

2464 Roswell Rd
Marietta, GA 30062-4954
Phone (678) 732-1525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-131541ALMDFamily Medicine Physician
RN298221GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Emory Medical Care Foundation Inc Family Medicine Current Accepting new patients
AIDS Healthcare Foundation CurrentSince Dec 1, 2020 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 2, 2023 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Feb 18, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 1, 2017 Accepting new patients
Bold Legacy Practice, LLC CurrentSince Jun 1, 2023 Accepting new patients
Emory Medical Care Foundation CurrentSince Feb 18, 2025 Accepting new patients
Grady Memorial Hospital Corporation Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
AIDS Healthcare Foundation CurrentSince Dec 1, 2020 Accepting new patients
Bold Primary LLC Family Medicine CurrentSince Mar 14, 2024 Accepting new patients
Piedmont Medical Care Corporation Family Medicine Past Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

745 Memorial Dr SE
Atlanta, GA 30316
Phone (404) 616-3815

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

3800 Princeton Lakes Pkwy SW
Atlanta, GA 30331
Phone (404) 344-5158

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

1401 Johnson Ferry Rd
Ste 390
Marietta, GA 30062
Phone (470) 250-1492

1401 Johnson Ferry Rd
Ste 390B
Marietta, GA 30062
Phone (470) 250-1492

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1356851406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PRINCETON LAKES PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315580",
            "telephone_number": "678-732-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 11th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352053423",
            "country_code": "US",
            "telephone_number": "205-934-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-996-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Piedmont Ave NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303081416",
            "country_code": "US",
            "telephone_number": "470-639-6592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALEXIS",
        "middle_name": "DENICE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-131541",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN298221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "MITCHELL",
            "middle_name": "DENICE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.