| Alexis Denice Mitchell, CRNP | |
|
3800 Princeton Lakes Pkwy Sw, Atlanta, GA 30331-5580 | |
| (678) 732-1500 | |
| Not Available |
| Full Name | Alexis Denice Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3800 Princeton Lakes Pkwy Sw, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356851406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1-131541 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | RN298221 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Professional Services Llc | 8921176231 | 117 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Piedmont Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Aids Healthcare Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730705047 PECOS PAC ID: 2668369109 Enrollment ID: O20210219000447 |
| Entity Name | Bold Legacy Practice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972212116 PECOS PAC ID: 5799140430 Enrollment ID: O20230502000666 |
| Entity Name | Bold Primary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275300287 PECOS PAC ID: 6406298249 Enrollment ID: O20240524002775 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Denice Mitchell, CRNP 6255 W Sunset Blvd Fl 21, Los Angeles, CA 90028-7422 Ph: (323) 860-5200 | Alexis Denice Mitchell, CRNP 3800 Princeton Lakes Pkwy Sw, Atlanta, GA 30331-5580 Ph: (678) 732-1500 |