DR. TARISSA MITCHELL M.D.
NPI 1235306838
Pediatrics in Jonesboro, GA

Q: What is Tarissa Mitchell's NPI number?

The NPI number for Tarissa Mitchell is 1235306838. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Tarissa Mitchell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tarissa Mitchell was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2008PECOS Enrolled

2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236(770) 603-3612 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Tarissa Mitchell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TARISSA MITCHELL M.D. (NPI 1235306838) is an individual pediatrics provider in Jonesboro, Georgia, licensed in Georgia (060672) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235306838

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. TARISSA MITCHELLCredential: M.D.

Location Address2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTERJonesboro, GA 30236-2500

Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070

Phone(770) 603-3612

Sole ProprietorNo

Enumeration DateMay 13, 2008

Last NPPES UpdateJanuary 7, 2022

✔ NPI 1235306838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 060672

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2400 MOUNT ZION PKWY, Jonesboro, GA 30236

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tarissa Mitchell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tarissa Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group

21 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY KING DESCHLER M.D.

Ophthalmology

2400 MOUNT ZION PKWY, KRUISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236

Clayton County (614) 293-8116

DR. SYLVIA E MORRIS MD

Internal Medicine

2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236

Clayton County (770) 603-3649

HANNAH YAEL PAULL

Psychologist

2400 MOUNT ZION PKWY
JONESBORO, GA 30236

Clayton County (404) 375-3328

SHAWN G KASER MD

Internal Medicine (Cardiovascular Disease)

2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236

Clayton County (574) 232-5928

BOYEDE FRANKLIN ADEMODI M.D

Family Medicine (Adult Medicine)

2400 MOUNT ZION PKWY, DEPARTMENT OF INTERNAL MEDICINE
JONESBORO, GA 30236

Clayton County (770) 603-3667

ERIC GUERRA RPH

Pharmacist (Ambulatory Care)

2400 MOUNT ZION PKWY
JONESBORO, GA 30236

Clayton County (770) 603-3511

KAREN L. WOODS CNM

Advanced Practice Midwife

2400 MOUNT ZION PKWY
JONESBORO, GA 30236

Clayton County (404) 365-0966

KAYLA RANDLE PHARMD

Pharmacist (Oncology)

2400 MOUNT ZION PKWY, SUITE 116
JONESBORO, GA 30236

Clayton County (770) 603-4265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tarissa Mitchell's NPI number?

The NPI number for Tarissa Mitchell is 1235306838. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Tarissa Mitchell located?

Tarissa Mitchell practices at 2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236. The listed phone number is (770) 603-3612.

What is Tarissa Mitchell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tarissa Mitchell enrolled in Medicare?

Yes. Tarissa Mitchell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tarissa Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarissa Mitchell reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tarissa Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tarissa Mitchell was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.