Active NPI
Monique Elise Mitchell
- Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- GAA-NP001457
- Practice address
- 275 Collier Rd NW Ste 400
Atlanta, GA 30309-1711 - Phone
- (404) 660-5484
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9364702 | FL | |
| Nurse Practitioner | 363L00000X | GAA-NP001457 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW Ste 400
Atlanta, GA 30309-1711
Mailing address
193 Camdale CT
McDonough, GA 30252-2305
Phone (813) 506-3188
Other practice location 1
500 Dekalb Ave
Brooklyn, NY 11205-5243
Phone (917) 764-2380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VT, NY, FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (212) 734-6621
16200 S Jog Rd
Delray Beach, FL 33446-2321
Phone (212) 734-6621
1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (212) 734-6621
220 Sierra Dr
Miami, FL 33179-3855
Phone (212) 734-6621
250 Skillman St
Brooklyn, NY 11205-1218
Phone (718) 964-6161
4405 Lakewood Rd
Lake Worth, FL 33461-3414
Phone (212) 734-6621
4920 Viceroy St
Cape Coral, FL 33904-9052
Phone (718) 534-0689
5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (212) 734-6621
595 N Williamson Blvd
Daytona Beach, FL 32114-7185
Phone (212) 734-6621
701 Victoria St
Brandon, FL 33510-4100
Phone (212) 734-6621
7225 Boca del Mar Dr
Boca Raton, FL 33433-5517
Phone (212) 734-6621
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880
800 NW 95 St
Miami, FL 33150-2032
Phone (212) 734-6621
9311 S Orange Blossom TRL
Orlando, FL 32837-8301
Phone (212) 734-6621
Hospital & facility affiliations
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 87.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9364702 | FL | MD | Registered Nurse |
| GAA-NP001457 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Family Medical Associates, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Family Medical and Urgent Care Clinic of McDonough, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients | |
| Donna M. Haney M.D., P.C. | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135
230 Plaza Dr
Zebulon, GA 30295
Phone (404) 569-1310
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAJFBD
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Family Medicine Physician
- McDonough, GA
- NPI 1043440530
-
- Family Medicine Physician
- McDonough, GA
- NPI 1225587280
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Family Medicine Physician
- Zebulon, GA
- NPI 1801078035
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1659062883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 CAMDALE CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302522305",
"telephone_number": "813-506-3188",
"fax_number": "929-410-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091711",
"telephone_number": "404-660-5484"
}
],
"practiceLocations": [
{
"address_1": "500 Dekalb Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112055243",
"country_code": "US",
"telephone_number": "917-764-2380",
"fax_number": "929-410-6027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MONIQUE",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9364702",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "GAA-NP001457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.