Holly Wilson Mitchell, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Jasper, Georgia. She went to University Of Cincinnati College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Piedmont Providers Llc and her current practice location is
220 J L White Dr Ste 120, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 692-3539.
Holly Wilson Mitchell is licensed to practice in Georgia (license number RN162066) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225468028.
Provider's Profile
| Full Name | Holly Wilson Mitchell |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 11 Years |
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| Location | 220 J L White Dr Ste 120, Jasper, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Holly Wilson Mitchell attended and graduated from University Of Cincinnati College Of Medicine in 2013
NPI Data:
- NPI Number: 1225468028
- Provider Enumeration Date: 11/15/2013
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082838966
- Enrollment ID: I20140616001456
Medical Identifiers
Medical identifiers for Holly Wilson Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225468028 | NPI | - | NPPES |
| 003143552C | Medicaid | GA | |
| 003143552D | Medicaid | GA | |
| 003143552A | Medicaid | GA | |
| 003143552B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | RN162066 (Georgia) | Secondary |
| 367A00000X | Advanced Practice Midwife | RN162066 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Piedmont Providers Llc | 9830082825 | 367 |
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. Holly Wilson Mitchell allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321 |
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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. Holly Wilson Mitchell 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 Address | Practice Location Address |
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Holly Wilson Mitchell, RN, CNM
1100 Johnson Fy Rd Ne, Suite 800, Center 2,
Atlanta, GA 30342-1709
Ph: (404) 252-1137 | Holly Wilson Mitchell, RN, CNM
220 J L White Dr Ste 120,
Jasper, GA 30143-4894
Ph: (706) 692-3539 |
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