Jesse Mitchell Jr, MD - Medicare Emergency Medicine in Carrollton, GA

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Jesse Mitchell Jr, MD is a medicare enrolled "Emergency Medicine" physician in Carrollton, Georgia. He went to University Of Mississippi School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tmc Immediate Care, Inc and his current practice location is 705 Dixie St, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 836-9666.

Jesse Mitchell Jr is licensed to practice in Georgia (license number 027870) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063479863.

Contact Information

Jesse Mitchell Jr, MD
705 Dixie St,
Carrollton, GA 30117-3818
(770) 836-9666
Not Available

Map and Direction




Physician's Profile

Full NameJesse Mitchell Jr
GenderMale
SpecialityEmergency Medicine
Experience43 Years
Location705 Dixie St, Carrollton, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jesse Mitchell Jr attended and graduated from University Of Mississippi School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1063479863
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 04/28/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9234031089
  • Enrollment ID: I20050120000623

Medical Identifiers

Medical identifiers for Jesse Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063479863NPI-NPPES
00044954AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 027870 (Georgia)Secondary
207P00000XEmergency Medicine 027870 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tanner Home Health ServicesCarrollton, GAHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tmc Immediate Care, Inc913310597620

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jesse Mitchell Jr allows following entities to bill medicare on his behalf.
Entity NameCarrollton Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790724672
PECOS PAC ID: 7416860010
Enrollment ID: O20040122001028
Entity NameTmc Immediate Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386708097
PECOS PAC ID: 9133105976
Enrollment ID: O20040624000840
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NameTanner Bridge Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770391047
PECOS PAC ID: 4587194659
Enrollment ID: O20250205002445

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Mitchell Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesse Mitchell Jr, MD
4839 Pool Mill Rd,
Douglasville, GA 30135-5266

Ph: () -		Jesse Mitchell Jr, MD
705 Dixie St,
Carrollton, GA 30117-3818

Ph: (770) 836-9666

Reviews and Comments


Emergency Medicine Doctors in Carrollton, GA

Brett Wynn, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Nathan Hundley, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-812-9597    
Michael Eckert, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Tanner Health Systems, Emergency Dept, Carrollton, GA 30117
Phone: 770-836-9666    
Richard Whitaker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Theodore Nicholson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Timothy Paul, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.