MRS. STACEY LASANDRA MITCHELL NP
NPI 1245794387
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since January 23, 2019PECOS Enrolled
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214(678) 590-1232(470) 381-1502 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 26, 2023, Feb 2, 2022 and 4 more (7 updates tracked since 2019).

About Mrs. Stacey Lasandra Mitchell Np NPPES

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

MRS. STACEY LASANDRA MITCHELL NP (NPI 1245794387) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (203475) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245794387
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. STACEY LASANDRA MITCHELLCredential: NP
Location Address320 LANIER AVE W STE 200Fayetteville, GA 30214-7443
Mailing Address1415 Highway 85 N Ste 310-390Fayetteville, GA 30214-7738 · Fax (470) 381-1502
Fax(470) 381-1502
Sole ProprietorYes
Enumeration DateJanuary 23, 2019
Last NPPES UpdateSeptember 16, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1245794387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in GA · 203475 Licensed in NY · 403153
320 LANIER AVE W STE 200, Fayetteville, GA 30214

Other Names 1

Former Name (1)Miss Stacey Lasandra Coleman Aprn, Pmhnp-bc

Other Identifiers 1

Other1245794387GA · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Stacey Lasandra Mitchell Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

Durable Medical Equipment & Medical Supplies
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Clinic/Center (Mental Health (Including Community Mental Health Center))
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Family Medicine
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Psychiatric/Mental Health)
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Home Health
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Behavior Analyst
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Hospice Care, Community Based
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214
Behavior Technician
320 LANIER AVE W STE 200
FAYETTEVILLE, GA 30214

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 Stacey Mitchell's NPI number?

The NPI number for Stacey Mitchell is 1245794387. It was assigned to this individual provider in the NPPES registry on January 23, 2019. The provider is also known as Miss Stacey Lasandra Coleman Aprn, Pmhnp-Bc.

Where is Stacey Mitchell located?

Stacey Mitchell practices at 320 Lanier Ave W Ste 200, Fayetteville, GA 30214. The listed phone number is (678) 590-1232.

What is Stacey Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacey Mitchell enrolled in Medicare?

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

What insurance does Stacey Mitchell accept?

Health plans from Alliant Health Plans, Inc., CareSource, Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Stacey Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Mitchell was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.