Active NPI
Jana Adams Mitcham, M.ED. SLP-CFY
- General Acute Care Hospital
- Athens, GA
National Provider Identifier
1912376146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- SLP007681
- Practice address
- 1230 Baxter St
Athens, GA 30606-3712 - Phone
- (706) 389-2950
- NPI assigned
- Sep 17, 2015
- Last updated
- Sep 17, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | SLP007681 | GA | Primary |
Addresses
Primary practice location
1230 Baxter St
Athens, GA 30606-3712
Mailing address
1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-2950
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007681 | GA | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1912376146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063712",
"telephone_number": "706-389-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063712",
"telephone_number": "706-389-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHAM",
"first_name": "JANA",
"middle_name": "ADAMS",
"name_prefix": "Mrs.",
"credential": "M.ED. SLP-CFY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "GA",
"license": "SLP007681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.