Individual provider Active NPI

Deborah Celithia Mitchell, CRNA

  • Certified Registered Nurse Anesthetist
  • Stockbridge, GA
National Provider Identifier
1861401036
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN100863 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(770) 389-2200
Fax
(770) 237-1124
NPI assigned
Aug 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN100863 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

PO Box 102966
Atlanta, GA 30368-2966

Other identifiers 1

IdentifierTypeStateIssuer
590253909EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3058SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. PastSince May 1, 2015 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered PastSince Oct 3, 2000 Accepting new patients
Henry Anesthesia Associates LLC Past Accepting new patients
Palmyra Professional Fees LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anniston Pathology Past Accepting new patients
Collier Anesthesia PA Past Accepting new patients
Molina Burkett Chauhan Wheeley and Fink MD PA Past Accepting new patients
United Hospital Center, Inc. Past Accepting new patients
Tri County Professional Management, Inc Past Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Brevard Anesthesia Services PA Nurse Anesthetist, Certified Registered PastSince Dec 1, 1999 Accepting new patients
Wolverine Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
North Florida Anesthesia Consultants, Inc. Past Accepting new patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients
Preferred Anesthesia Consultants LLC Past Accepting new patients
The Anesthesia Group, P.a. Past Accepting new patients

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1861401036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102966",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "770-389-2200",
            "fax_number": "770-237-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DEBORAH",
        "middle_name": "CELITHIA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN100863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590253909E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.