Active NPI
Mia Eloisa Mison, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Suwanee, GA
National Provider Identifier
1548532203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN212250
- Practice address
- 1490 Distribution Dr Ste 150
Suwanee, GA 30024-4916 - Phone
- (678) 263-3080
- NPI assigned
- Jan 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | RN212250 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN212250 | GA | Primary |
| Registered Nurse | 163W00000X | RN212250 | GA |
Addresses
Primary practice location
1490 Distribution Dr Ste 150
Suwanee, GA 30024-4916
Mailing address
1325 Satellite Blvd NW Ste 400
Suwanee, GA 30024-5299
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.psychprosga.com/ | Direct |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Professionals of Georgia, LLC | Psychiatry | Current | Accepting new patients |
Locations
1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414
1490 Distribution Dr
Ste 150
Suwanee, GA 30024
Interoperability endpoints
- mia.mison.1@25899.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Suwanee, GA
- NPI 1396277968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1548532203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SATELLITE BLVD NW STE 400",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300245299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 DISTRIBUTION DR STE 150",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244916",
"telephone_number": "678-263-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISON",
"first_name": "MIA ELOISA",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "RN212250",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN212250",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN212250",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://www.psychprosga.com/",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1490 Distribution Dr Ste 150",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300244916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.