Douglas Nathan Mitchell, D.C.
Individual provider Active NPI Chiropractor · Rockmart, GA
NPI 1861573545 · NPPES record last updated Nov 28, 2007
Key facts
- NPI
- 1861573545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR008076 (GA)
- Practice address
- 111 Felton Dr
Rockmart, GA 30153-2013 - Phone
- (770) 684-4963
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 Felton Dr
Rockmart, GA 30153-2013
Phone (770) 684-4963
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000286 | GA | Practitioner - Chiropractic | 8022103878 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell Chiropractic & Wellness | Chiropractor | Current |
Accepting new patients |
Locations
111 Felton Dr
Rockmart, GA 30153
Phone (770) 324-3075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008076 | GA | Yes |
Addresses
Primary practice location
111 Felton Dr
Rockmart, GA 30153-2013
Mailing address
111 Felton Dr
Rockmart, GA 30153-2013
Phone (770) 684-4963
Other providers in Rockmart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.