Individual provider Active NPI

Mitchell P. Hilsen, D.P.M.

  • Podiatrist
  • Roswell, GA
National Provider Identifier
1558327809
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000858 Issued in GA
Practice address
1350 Upper Hembree Rd
Suite 100
Roswell, GA 30076-0927
Phone
(770) 663-8011
Fax
(770) 743-9820
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000858 GA Primary

Addresses

Primary practice location

1350 Upper Hembree Rd
Suite 100
Roswell, GA 30076-0927

Mailing address

1350 Upper Hembree Rd Ste 100
Roswell, GA 30076-0929
Phone (678) 426-2171

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000499 GA Practitioner - Podiatry 0143297473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
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)

1350 Upper Hembree Rd
Suite 100
Roswell, GA 30076-0929
Phone (770) 663-8011

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue665
Removal or shaving of skin growth263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
858GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group LLC Podiatrist CurrentSince Jul 7, 2004 Accepting new patients
Roswell Center for Foot & Ankle Surgery, LLC CurrentSince Dec 15, 2016 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Sep 26, 2007 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Jul 7, 2004 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Advanced Foot Care, LLP Podiatrist PastSince Oct 21, 2015 Accepting new patients

Locations

2295 Parklake Dr NE
Ste 150
Atlanta, GA 30345
Phone (770) 938-5974

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

900 Circle 75 Pkwy SE
Ste 900
Atlanta, GA 30339
Phone (678) 426-2171

1610 Mulkey Rd
Austell, GA 30106
Phone (770) 544-0444

4445 S Lee St
Ste 200
Buford, GA 30518
Phone (770) 848-7160

132 Riverstone Ter
Ste 101
Canton, GA 30114
Phone (678) 880-0036

100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717

3655 Howell Ferry Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-8283

583 Highland Xing
Ste 130
Ellijay, GA 30540
Phone (706) 635-3539

466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

Interoperability endpoints

  • Direct secure messaging: mitchell.hilsen.1@4399.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558327809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 UPPER HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760929",
            "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": "1350 UPPER HEMBREE RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "770-663-8011",
            "fax_number": "770-743-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILSEN",
        "first_name": "MITCHELL",
        "middle_name": "P.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.