Naomi Bianca Mitchell, M.S., R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005275 Issued in GA

Practice address

125 Eagles Walk Ste 100
Stockbridge, GA 30281-7239

Phone

(678) 994-2700

Fax

(678) 737-1492

NPI assigned

Apr 25, 2019

Sex

Female

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Hyped 4 Health LLC

  • Registered Dietitian
  • Stockbridge, GA
  • NPI 1174127039
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1376107342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WALTER WAY UNIT 1888",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819520",
            "telephone_number": "678-994-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAGLES WALK STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817239",
            "telephone_number": "678-994-2700",
            "fax_number": "678-737-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2268 Fountain Sq",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785757",
            "country_code": "US",
            "telephone_number": "678-364-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NAOMI",
        "middle_name": "BIANCA",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaydev Bharat Mistry, MD
• Amaya Dionne Mitchell
• Deborah Celithia Mitchell, CRNA
• Felicia M Mitchell, PHARMD
• Jonathan Mitchell, CRNA
• Rhonda Copenny Mitchell
• Mixed Medical Media
• Mixed Medical Media
• MK in Home Care Services
• MND Diagnostic Solutions LLC

• Registered Dietitian in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.