Lulu Sherrie Mitchell (NPI# 1710082458, PAC ID# 6406947928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1710082458 |
| PAC ID by PECOS | 6406947928 |
| Professional Enrollment ID | I20070813000101 |
| Full Name | Lulu Sherrie Mitchell |
| Organization Legal Name | CAEDEL MEDICAL GROUP |
| Address |
1324 Hwy 138 Riverdale GA 30296-1404 |
| Phone Number | 7709074949 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0648258988 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1324 Hwy 138, Riverdale, GA 30296-1404 | 7709074949 | CAEDEL MEDICAL GROUP |
| Organization Legal Name | CAEDEL MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Itauma Udosen | Family Medicine | Caedel Medical Group | 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 |
| Claire K Willie | Internal Medicine | Caedel Medical Group | 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 |
| James Oliviere Jr. | Family Medicine | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
| Street Address |
1324 HWY 138 |
| City | RIVERDALE |
| State | GA |
| Zip | 30296-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Oliviere Jr. | Family Medicine | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qiana Johnson | Nurse Practitioner | 1240 Hwy 138 Sw, Riverdale, GA 30296-1402 | |
| James E Gleason Jr. | Family Medicine | 7365 Old National Hwy, Riverdale, GA 30296-1607 | |
| Ganiyu A Bello | Physical Therapy | 808 Commerce Blvd, C2, Riverdale, GA 30296-7192 | |
| Sadaqa T Ward | Clinical Social Worker | Drawanert Associates | 808 Commerce Blvd, Riverdale, GA 30296-7192 |
| City | RIVERDALE |
| Zip Code | 30296 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RIVERDALE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lulu Sherrie 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.