La'Genia Mitchell-Smith, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001024 Issued in GA

Practice address

550 Peachtree Street
Suite 1960
Atlanta, GA 30308-2225

Phone

(404) 589-1330

Fax

(404) 589-1387

NPI assigned

Aug 16, 2005

Sex

Female

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

Specialty

Podiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: la.genia.mitchell-smith.1@4399.direct.athenahealth.com

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.

• Village Podiatry Group II, LLC.

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1427540699
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group II, LLC.

  • Podiatrist
  • Royston, GA
  • NPI 1659918969
  NPD
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314
  NPD
• Village Podiatry Group, LLC

  • Podiatrist
  • Greensboro, GA
  • NPI 1659464899
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1467444570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY.SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET",
            "address_2": "SUITE 1960",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082225",
            "telephone_number": "404-589-1330",
            "fax_number": "404-589-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-SMITH",
        "first_name": "LA'GENIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missions Possible of Atlanta Day Program LLC.
• Melinda M. Mistr, CRNA
• John Paul Mistretta, DDS
• Mitchell Street Chiropractic LLC
• Dorothy E. Mitchell-Leef, M.D.
• Adam Jackson Mitchell, M.D.
• Aisha Mitchell, D.C.
• Alexandra Mitchell
• Alexis Denice Mitchell, CRNP
• Alicia Kaye Mitchell, M.S., BCBA

• Podiatrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.