Holly Wilson Mitchell, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Jasper, Georgia. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1225468028
- Provider Enumeration Date: 11/15/2013
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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