Active NPI
Eric S. Mitchell, M.D.
- Cardiovascular Disease Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 46177
- Practice address
- 775 Poplar Rd
Suite 230
Newnan, GA 30265-8300 - Phone
- (770) 253-0611
- Fax
- (770) 502-0521
- NPI assigned
- Jan 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 46177 | GA | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 046177 | GA |
Addresses
Primary practice location
775 Poplar Rd
Suite 230
Newnan, GA 30265-8300
Mailing address
775 Poplar Rd
Suite 230
Newnan, GA 30265-8300
Phone (770) 253-0611
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Mercy College, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1267 Hwy 54 W
Suite 4100
Fayetteville, GA 30214-2112
Phone (770) 506-5470
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
20 Francis Way
Sharpsburg, GA 30277-3589
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912
795 Poplar Rd
Suite 400
Newnan, GA 30265-2590
Phone (770) 254-6089
95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000
95 Collier Rd NW
Suite 6000
Atlanta, GA 30309-1796
Phone (404) 605-2888
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
- Piedmont Fayette Hospital
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46177 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Professional Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
1015 Lafayette Pkwy
Ste 130
Lagrange, GA 30241
Phone (470) 489-0090
775 Poplar Rd
Ste 230
Newnan, GA 30265
Phone (770) 254-6089
20 Francis Way
Ste 201
Sharpsburg, GA 30277
Phone (770) 254-6089
20 Francis Way
Ste 101
Sharpsburg, GA 30277
Phone (404) 352-1611
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Piedmont Newnan Hospital, Inc. | Hospital | Corporate Director | Jul 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
Corporate Director
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Cardiovascular Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1821077793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 POPLAR RD",
"address_2": "SUITE 230",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658300",
"telephone_number": "770-253-0611",
"fax_number": "770-502-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POPLAR RD",
"address_2": "SUITE 230",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658300",
"telephone_number": "770-253-0611",
"fax_number": "770-502-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ERIC",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "46177",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "GA",
"license": "046177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.