Active NPI
Davin Mitchell, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 63786
- Practice address
- 1075 Lafayette Pkwy
Ste 100
Lagrange, GA 30241-3584 - Phone
- (706) 593-3256
- Fax
- (706) 443-5275
- NPI assigned
- May 13, 2008
- Last updated
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 63786 | GA | Primary |
Addresses
Primary practice location
1075 Lafayette Pkwy
Ste 100
Lagrange, GA 30241-3584
Mailing address
1075 Lafayette Pkwy
Ste 100
Lagrange, GA 30241-3584
Phone (706) 593-3256
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1075 Lafayette Pkwy
Suite 100
Lagrange, GA 30241-3507
Phone (706) 443-5273
1075 Lafayette Pkwy
Suite 100
Lagrange, GA 30241-3584
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Diagnostic and Interventional Pain PC | Current | Accepting new patients | |
| Anesthesia Care of Henderson PC | Past | Accepting new patients | |
| Amsol Physicians of Elkin NC | Past | Accepting new patients | |
| Medventures Physical Therapy, LLC | Past | Accepting new patients |
Locations
1075 Lafayette Pkwy
Ste 100
Lagrange, GA 30241
Phone (706) 443-5273
Interoperability endpoints
- davin.mitchel@westgahealth.gadirect.net
- davin.mitchell.1@5888.direct.athenahealth.com
- davin.mitchell.2@5888.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba TDI Pain
- Interventional Pain Medicine Physician
- Lagrange, GA
- NPI 1609143502
-
dba Moaa
- Pain Medicine (Anesthesiology) Physician
- Lagrange, GA
- NPI 1790234391
-
- Physical Therapist
- Lagrange, GA
- NPI 1851748172
-
- Anesthesiology Physician
- Elkin, NC
- NPI 1801989504
-
- Anesthesiology Physician
- Henderson, NC
- NPI 1437307006
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellStar West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1861669517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 LAFAYETTE PKWY",
"address_2": "STE 100",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413584",
"telephone_number": "706-593-3256",
"fax_number": "706-443-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 LAFAYETTE PKWY",
"address_2": "STE 100",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413584",
"telephone_number": "706-593-3256",
"fax_number": "706-443-5275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "DAVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "63786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.