Sumona Mitchell, CERTIFIED HAIR LOSS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO093671 Issued in GA

Practice address

1100 Eisenhower Drive 15
Suite 7
Savannah, GA 31406

Phone

(912) 499-9733

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sumona Brown Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1831737949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 STALEY AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053836",
            "telephone_number": "803-260-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EISENHOWER DRIVE 15",
            "address_2": "SUITE 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-499-9733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Eisenhower Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063926",
            "country_code": "US",
            "telephone_number": "803-260-7427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SUMONA",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO093671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMONA",
            "last_name": "BROWN",
            "prefix": "MS.",
            "credential": "CERTIFIED HAIR LOSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Avendano Mitchell, NP-C
• Selia Jaquel Mitchell
• Shaunta Mitchell
• Sherrie Mitchell
• Sherrill McClain Mitchell, P.T.
• Teer Williams Mitchell, LCSW
• Angela Barton Mixon, FNP
• Mobile Stick
• Michael Charles Mobley, M.D.
• Angela Sinopoli Mock, CRN7A

• Prosthetics Case Management in Savannah, GA
• Providers in Savannah, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.