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GROWTH MINDSET WELLNESS PC
NPI 1699408005
Nurse Practitioner in Stockbridge, GA

Active since July 04, 2022
175 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281(470) 275-2358 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2022, Jul 12, 2022, Jul 4, 2022 (3 updates tracked since 2022).

About Growth Mindset Wellness Pc NPPES

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

GROWTH MINDSET WELLNESS PC (NPI 1699408005) is a healthcare organization registered as a nurse practitioner in Stockbridge, Georgia and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Haverhill and lists Tiffany Bates, Owner, as its authorized official.

NPPES Registry Identity

NPI1699408005
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGROWTH MINDSET WELLNESS PC
Location Address175 CORPORATE CENTER DR STE BStockbridge, GA 30281-7382
Mailing Address175 Corporate Center Dr Ste BStockbridge, GA 30281-7382 · (470) 275-2358 · Fax (470) 319-6353
Phone(470) 275-2358
Organization SubpartNo
Authorized OfficialTiffany BatesOwner · (470) 275-2358
Enumeration DateJuly 4, 2022
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1699408005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
175 CORPORATE CENTER DR STE B, Stockbridge, GA 30281
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Secondary Practice Location 1

Location 14500 Belvedere Rd Ste HHaverhill, FL 33415-1357 · Phone (561) 220-8579

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Growth Mindset Wellness Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Growth Mindset Wellness PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Tiffany Bates, APRN
Nurse Practitioner
NPI 1457943813
175 CORPORATE CENTER DR STE B
Stockbridge, GA 30281
(470) 436-0847
✔ PECOSSame address
Whitney Robinson, FNP-BC
Nurse Practitioner
NPI 1205528403
175 CORPORATE CENTER DR STE B
Stockbridge, GA 30281
(470) 275-2358
✔ PECOSSame address
Avis Holmes, PMHNP-BC
Nurse Practitioner
NPI 1861257149
990 HAMMOND DR STE 600
Atlanta, GA 30328
(678) 861-1832
✔ PECOS30 mi

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

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 Growth Mindset Wellness PC's NPI number?

The NPI number for Growth Mindset Wellness PC is 1699408005. It was assigned to this organization in the NPPES registry on July 4, 2022.

Where is Growth Mindset Wellness PC located?

Growth Mindset Wellness PC is located at 175 Corporate Center Dr Ste B, Stockbridge, GA 30281. The listed phone number is (470) 275-2358.

What is Growth Mindset Wellness PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Growth Mindset Wellness PC enrolled in Medicare?

Yes. Growth Mindset Wellness PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Growth Mindset Wellness PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Growth Mindset Wellness PC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Growth Mindset Wellness PC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.