LULA SHERRI M MITCHELL (NPI# 1710082458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710082458 |
| Entity Type | Individual |
| Full Name | LULA SHERRI M MITCHELL |
| Credential | PA |
| Practice Address |
1324 Highway 138 Sw Riverdale GA 30296-1404 |
| Mailing Address |
Po Box 741539 Riverdale GA 30274-1328 |
| Practice Telephone | 7709074949 |
| Practice Fax Number | 7709074022 |
| Mailing Telephone | 7709074949 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1417 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1324 HIGHWAY 138 SW |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710922075 | Caedel Medical Group | Internal Medicine | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2006-06-19 |
| 1194188516 | Jodi Tallman | Nurse Practitioner | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2016-04-02 |
| 1649520800 | Tannisa D Bailey | Registered Nurse | 1324 Highway 138 Sw, Riverdale, GA 30296 | 2012-09-14 |
| 1891977146 | James Oliviere Jr. | Family Medicine | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2007-11-28 |
| 1356545586 | Camille Pleshette Cook | Nurse Practitioner | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2007-06-12 |
| 1790711141 | Claire K Willie | Internal Medicine | 1324 Highway 138 Sw, Riverdale, GA 30296-1404 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265674170 | Hassan Turay | Physician Assistant | 5305 Kenilworth Ave # 100, Riverdale, MD 20737-3101 | 2009-03-24 |
| 1598151037 | Oyinlola Abisola Peterson | Physician Assistant | 11 Upper Riverdale Rd, Riverdale, GA 30274 | 2015-04-10 |
| 1013224369 | Benjamin D Simpson | Physician Assistant | 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 | 2010-09-08 |
| 1861410490 | Antonio J Gomes Jr. | Physician Assistant | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LULA SHERRI M MITCHELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.