Active NPI
Mitchell P. Hilsen, D.P.M.
- Podiatrist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD000858
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Wellstar Windy Hill Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 665 |
| Removal or shaving of skin growth | 263 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 858 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Podiatry Group LLC | Podiatrist | Current | Accepting new patients |
| Roswell Center for Foot & Ankle Surgery, LLC | Current | Accepting new patients | |
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group, L.L.C. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Advanced Foot Care, LLP | Podiatrist | Past | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
- NPI 1427540699
-
- Podiatrist
- Roswell, GA
- NPI 1508846718
-
- Ambulatory Surgical Clinic/Center
- Roswell, GA
- NPI 1346240751
-
- Podiatrist
- Royston, GA
- NPI 1659918969
-
- Foot & Ankle Surgery Podiatrist
- Covington, GA
- NPI 1942036314
-
- Podiatrist
- Lenoir City, TN
- NPI 1043725690
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.