Organization Active NPI

Shauna H. Mitchell DDS PC

  • Dental Clinic/Center
  • Decatur, GA
National Provider Identifier
1669260642
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHAUNA H. MITCHELL DDS PC
Doing business as
Family & Cosmetic Dentistry of Decatur
Practice address
3662 Flakes Mill Rd Ste a
Decatur, GA 30034-5219
Phone
(770) 593-2202
Fax
(770) 593-2602
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Dr. Shauna Gammage, DMD
Title
President
Phone
(404) 805-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3662 Flakes Mill Rd Ste a
Decatur, GA 30034-5219

Mailing address

3662 Flakes Mill Rd Ste a
Decatur, GA 30034-5219
Phone (770) 593-2202

Other names 1

  • Family & Cosmetic Dentistry of Decatur Doing business as

National Provider Directory

National Provider Directory

Locations

3662 Flakes Mill Rd
Ste A
Decatur, GA 30034
Phone (770) 593-2202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1669260642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 FLAKES MILL RD STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345219",
            "telephone_number": "770-593-2202",
            "fax_number": "770-593-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 FLAKES MILL RD STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345219",
            "telephone_number": "770-593-2202",
            "fax_number": "770-593-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA H. MITCHELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "GAMMAGE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-805-1454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Cosmetic Dentistry of Decatur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.