Active NPI
Maseyree Mitchell
- Dietary Manager
- Covington, GA
National Provider Identifier
1861303729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- Practice address
- 125 Bramble Bush TRL
Covington, GA 30014-5972 - Phone
- (678) 576-2768
- NPI assigned
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Foods Supplier | 335G00000X | GA | ||
| Dietary Manager | 132700000X | GA | Primary |
Addresses
Primary practice location
125 Bramble Bush TRL
Covington, GA 30014-5972
Mailing address
125 Bramble Bush TRL
Covington, GA 30014-5972
Phone (678) 576-2768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1861303729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BRAMBLE BUSH TRL",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300145972",
"telephone_number": "678-576-2768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BRAMBLE BUSH TRL",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300145972",
"telephone_number": "678-576-2768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MASEYREE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.