Julia M Mitchell, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105804 Issued in FL

Practice address

2452 Mahan Dr Ste 101
Tallahassee, FL 32308-5377

Phone

(850) 877-2126

Fax

(850) 878-5190

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1992777973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 MAHAN DR STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085377",
            "telephone_number": "850-877-2126",
            "fax_number": "850-878-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 MAHAN DR STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085377",
            "telephone_number": "850-877-2126",
            "fax_number": "850-878-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JULIA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002304",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHSTATE",
            "identifier": "104589397A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104589397A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Mitchell-Buckman
• Badonna Mitchell, LMFT
• Bianca Mitchell
• Elliana Grace Mitchell
• Jaslynne Mitchell
• Michael Mitchell, M.D.
• Natasha Katherine Mitchell, PHARM.D.
• Patricia Janice Mitchell
• Raquel Marguerite Mitchell, MD
• Scott A. Mitchell

• Surgical Physician Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.