Individual provider Active NPI

Katrina Schuler Mitchell, DDS

  • Dentist
  • Atlanta, GA
National Provider Identifier
1851514541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN011930 Issued in GA
Practice address
740 Ferst Dr
Atlanta, GA 30332-0470
Phone
(404) 385-5148
Fax
(404) 385-5151
NPI assigned
Apr 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN011930 GA Primary

Addresses

Primary practice location

740 Ferst Dr
Atlanta, GA 30332-0470

Mailing address

740 Ferst Dr
Atlanta, GA 30332-0470
Phone (404) 385-5148

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102002712 GA Practitioner - Dentist 4284068057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN011930GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph's Mercy Care Services, Inc. CurrentSince Oct 23, 2019 Accepting new patients
Saint Joseph's Mercy Care Services, Inc. CurrentSince Oct 23, 2019 Accepting new patients
Saint Joseph's Mercy Care Services Inc Current Accepting new patients
Saint Joseph's Mercy Care Services, Inc. Current Accepting new patients
Saint Joseph's Mercy Care Services, Inc. Current Accepting new patients
Georgia Institute of Technology Stamps Health Services Past Accepting new patients

Locations

1300 Joseph E Boone Blvd NW
Atlanta, GA 30314
Phone (404) 952-1201

275 Pryor St SW
Atlanta, GA 30303
Phone (678) 843-8840

424 Decatur St SE
Atlanta, GA 30312
Phone (678) 843-8500

655 Ethel St NW
Atlanta, GA 30318
Phone (678) 843-8500

5134 Peachtree Rd
Chamblee, GA 30341
Phone (678) 872-7100

Interoperability endpoints

  • Direct secure messaging: kschulerbacon160250@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851514541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FERST DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-385-5148",
            "fax_number": "404-385-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FERST DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-385-5148",
            "fax_number": "404-385-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULER MITCHELL",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.