Individual provider Active NPI

Monique Elise Mitchell

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1659062883
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
GAA-NP001457 Issued in GA
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

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230711001453 GA Practitioner - Family Practice 2567821366 Reassigns benefits to 3 organizations
I20260323002850 VT Practitioner - Nurse Practitioner 2567821366 Reassigns benefits to 1 organization
I20260420000117 NY Practitioner - Nurse Practitioner 2567821366 Reassigns benefits to 1 organization
I20260504004954 FL Practitioner - Nurse Practitioner 2567821366 Reassigns benefits to 1 organization
I20260529003081 CT Practitioner - Nurse Practitioner 2567821366 Reassigns benefits to 1 organization

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
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians
Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians

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 Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9364702FLMDRegistered Nurse
GAA-NP001457GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jul 29, 2024 Accepting new patients
Family Medical Associates, LLC Current Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 29, 2024 Accepting new patients
Family Medical and Urgent Care Clinic of McDonough, LLC CurrentSince Jun 27, 2023 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients
Donna M. Haney M.D., P.C. PastSince Jun 27, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.