Mitchell Healthcare, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MITCHELL HEALTHCARE, LLC

Doing business as

Interim HealthCare of Augusta

Practice address

801 Broad St Ste 605
Augusta, GA 30901-1252

Phone

(706) 550-1107

Fax

(706) 955-9318

NPI assigned

Dec 11, 2019

Last updated

May 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Cutter Mitchell

Title

Administrator

Phone

(706) 550-1107

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Interim HealthCare of Augusta Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1376181289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROAD ST STE 605",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011252",
            "telephone_number": "706-550-1107",
            "fax_number": "706-955-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROAD ST STE 605",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011252",
            "telephone_number": "706-550-1107",
            "fax_number": "706-955-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CUTTER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-550-1107"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003234083A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003234236A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME CARE PROVIDER LICENSE,  GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "PHCP010361",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "augustaoffice@interimhealthcare.com",
            "affiliation": "N",
            "address_1": "801 Broad St Ste 605",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309011252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Augusta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare of Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ali Mirza, MD, MPH
• Faris Anthony Mirza, MD
• Samarth Mishra, MD
• Kajal Mistry, MEDICAL DOCTOR
• Mit Ambulatory Care Center
• Arielle Mitchell
• Cassandra Mitchell, FNP
• Catherine P Mitchell, RN
• Erica Lauren Mitchell, NP
• Jamie Lee Mitchell, PA

• Nursing Care Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.