Individual provider Active NPI

Mitchell Pearce

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1932875598
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10519 Issued in GA
Practice address
993 Johnson Fy Rd NE Ste F210
Atlanta, GA 30342-1688
Phone
(404) 256-1727
Fax
(404) 256-0192
NPI assigned
Aug 23, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10519 GA Primary

Addresses

Primary practice location

993 Johnson Fy Rd NE Ste F210
Atlanta, GA 30342-1688

Mailing address

2000 View Dr Unit 2304
Woodstock, GA 30189-5360
Phone (423) 946-5824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430003742 TN Practitioner - Physician Assistant 0547620387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Physicians Knoxville PLLCGroup PAC ID 9739573353, 7 clinicians

Practice addresses (Care Compare)

1415 Old Weisgarber Rd
Suite 350
Knoxville, TN 37909-1381
Phone (865) 588-1605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.07 of 100Reported as group
Quality
77.73
Promoting interoperability
100
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4613TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. Past Accepting new patients
Atlanta Occupational Medicine PastSince Dec 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mitchell.pearce.1@25546.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1932875598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VIEW DR UNIT 2304",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895360",
            "telephone_number": "423-946-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FY RD NE STE F210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421688",
            "telephone_number": "404-256-1727",
            "fax_number": "404-256-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.