Active NPI
Sylvester W Berry'Mitchell, CNA
- Nurse's Aide
- Lawrenceville, GA
National Provider Identifier
1891331674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CN0000003050
- Practice address
- 1180 Market Square LN
Lawrenceville, GA 30044-3166 - Phone
- (404) 983-2599
- NPI assigned
- Nov 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CN0000003050 | GA | Primary |
Addresses
Primary practice location
1180 Market Square LN
Lawrenceville, GA 30044-3166
Mailing address
1180 Market Square LN
Lawrenceville, GA 30044-3166
Phone (404) 983-2599
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | sylvestersatl4837@gmail.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0000003050 | GA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berry and Mitchell Hands of Caring | Nurse'S Aide | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1891331674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 MARKET SQUARE LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443166",
"telephone_number": "404-983-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 MARKET SQUARE LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300443166",
"telephone_number": "404-983-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY'MITCHELL",
"first_name": "SYLVESTER",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "CN0000003050",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "sylvestersatl4837@gmail.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"address_1": "1180 Market Square Ln",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300443166",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.