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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUAN MITCHELL JR. DMD
NPI 1275330854
Dentist - General Practice in Athens, GA

Active since February 28, 2025PECOS Enrolled
402 MCKINLEY DR, ATHENS, GA 30601(706) 543-1145 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Mar 1, 2025 (2 updates tracked since 2025).

About Juan Mitchell Jr. Dmd NPPES

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

JUAN MITCHELL JR. DMD (NPI 1275330854) is an individual general practice provider in Athens, Georgia, licensed in Georgia (DN124067) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Dental Medicine (2025).

NPPES Registry Identity

NPI1275330854
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJUAN MITCHELL JR.Credential: DMD
Location Address402 MCKINLEY DRAthens, GA 30601-3261
Mailing Address68 Swansen StBethlehem, GA 30620-2168
Phone(706) 543-1145
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of Dental MedicineGraduated 2025
Enumeration DateFebruary 28, 2025
Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration
NPPES CertifiedNovember 3, 2026
✔ NPI 1275330854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN124067
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
402 MCKINLEY DR, Athens, GA 30601
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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)

Juan Mitchell Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507322781
PECOS Enrollment IDI20260728003964
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 Juan Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athens Model Neighborhood Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
402 MCKINLEY DRIVE
Athens, GA 30601
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1275751448 (706) 543-1145

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 30601 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 3

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

QIRRAT SALEEM AAMIR DMD
Dentist (General Practice)
402 MCKINLEY DR
ATHENS, GA 30601
Clarke County (706) 543-1145
DR. GAIL L HURLEY M.D.
General Practice
402 MCKINLEY DR
ATHENS, GA 30601
Clarke County (706) 543-1145
ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC
Pharmacy (Community/Retail Pharmacy)
402 MCKINLEY DR
ATHENS, GA 30601
Clarke County (706) 850-8057

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 Juan Mitchell's NPI number?

The NPI number for Juan Mitchell is 1275330854. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Juan Mitchell located?

Juan Mitchell practices at 402 Mckinley Dr, Athens, GA 30601. The listed phone number is (706) 543-1145.

What is Juan Mitchell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Juan Mitchell enrolled in Medicare?

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

Which organization bills Medicare for Juan Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Mitchell reassigns Medicare benefits to Athens Model Neighborhood Health Center Inc (Athens, 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 Juan 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 Juan Mitchell was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.