Laura L Mitchell (NPI# 1528457009, PAC ID# 0648583211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528457009 |
| PAC ID by PECOS | 0648583211 |
| Professional Enrollment ID | I20150727000047 |
| Full Name | Laura L Mitchell |
| Organization Legal Name | LIFETIME FAMILY MEDICINE,LLC |
| Address |
7869 Villa Rica Hwy Dallas GA 30157-8638 |
| Phone Number | 7704598449 |
| Gender | F |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577646736 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7869 Villa Rica Hwy, Dallas, GA 30157-8638 | 7704598449 | LIFETIME FAMILY MEDICINE,LLC |
| 431 Sage St, Temple, GA 30179-3726 | 7704598449 | LIFETIME FAMILY MEDICINE,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LIFETIME FAMILY MEDICINE,LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Lynn Favis | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Jessica Alyse Palombo | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Erin R Costanzo | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Michael L Miles | Family Medicine | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Katherine Gayle Harrington | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Landie Romulus | Physician Assistant | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Street Address |
7869 VILLA RICA HWY |
| City | DALLAS |
| State | GA |
| Zip | 30157-8638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Lynn Favis | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Jessica Alyse Palombo | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Erin R Costanzo | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Michael L Miles | Family Medicine | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Katherine Gayle Harrington | Nurse Practitioner | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Landie Romulus | Physician Assistant | Lifetime Family Medicine,llc | 7869 Villa Rica Hwy, Dallas, GA 30157-8638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Northrop | Clinical Social Worker | 110 Evans Mills Dr, Suite 305, Dallas, GA 30157 | |
| Sadia Ali | Podiatry | Village Podiatry Group, LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Richard B Burris | Orthopedic Surgery | Pinnacle Orthopaedics and Sports Medicine Specialists LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Clifford D Ostrow | Chiropractic | 101 Greystone Power Blvd, B, Dallas, GA 30157-0962 | |
| Jessica Lyn Bykowski | Clinical Social Worker | 110 Evans Mill Dr, Suite 305, Dallas, GA 30157-1623 | |
| Edward D Pham | Chiropractic | 110 Evans Mill Dr, Suite 302, Dallas, GA 30157-1623 | |
| Delbert G Sines | Chiropractic | 110 Evans Mill Dr, Suite 309, Dallas, GA 30157-1623 | |
| Warren Smith | Chiropractic | 110 Evans Mill Dr, Suite 301, Dallas, GA 30157-1623 | |
| Laura C Schell | Physical Therapy | 110 Evans Mill Dr, Suite 206, Dallas, GA 30157-1624 | |
| Kimdi J Fair | Chiropractic | Back In Line Systems LLC | 110 Evans Mill Dr, Suite 105, Dallas, GA 30157-1643 |
| Find all physicians in zip 30157 | |||
| City | DALLAS |
| Zip Code | 30157 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DALLAS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura L Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.