JACOB ANDERSON MITCHELL
NPI 1356800742
Family Medicine in Peachtree City, GA
About Jacob Anderson Mitchell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ANDERSON MITCHELL (NPI 1356800742) is an individual family medicine provider in Peachtree City, Georgia, licensed in Georgia (91704) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and maintains a secondary practice location in Provo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Anderson Mitchell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Mitchell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPiedmont Newnan Hospital, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacob Mitchell's NPI number?
The NPI number for Jacob Mitchell is 1356800742. It was assigned to this individual provider in the NPPES registry on March 15, 2019.
Where is Jacob Mitchell located?
Jacob Mitchell practices at 100 Genevieve Ct Ste A, Peachtree City, GA 30269. The listed phone number is (770) 486-1818.
What is Jacob Mitchell's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacob Mitchell enrolled in Medicare?
Yes. Jacob Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Mitchell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mitchell reassigns Medicare benefits to 2 organizations: Privia Medical Group Of Georgia LLC (Fayetteville, GA) and Wellstreet Of Georgia PC (Newnan, GA). Each 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 Jacob Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Mitchell accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jacob 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.
Is Jacob Mitchell affiliated with any hospitals?
According to CMS data, Jacob Mitchell is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Jacob Mitchell was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jacob Anderson Mitchell · NPI 1356800742
Family Medicine physician in Peachtree City, Georgia. Individual provider, active in the CMS NPPES registry since March 15, 2019.
## Identity
- **NPI:** 1356800742 (Entity type: Individual)
- **Enumerated:** March 15, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 91704 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 GENEVIEVE CT STE A, Peachtree City, GA 30269-4868
- **Phone:** (770) 486-1818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA); Wellstreet Of Georgia PC (NPI 1235411547, Newnan, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356800742) · Data from the CMS NPPES public registry.