LULA SHERRI M MITCHELL PA
NPI 1710082458
Physician Assistant - Medical in Riverdale, GA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1324 HIGHWAY 138 SW, RIVERDALE, GA 30296(770) 907-4949(770) 907-4022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lula Sherri M Mitchell Pa NPPES

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

LULA SHERRI M MITCHELL PA (NPI 1710082458) is an individual medical provider in Riverdale, Georgia, licensed in Georgia (1417) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1710082458
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLULA SHERRI M MITCHELLCredential: PA
Location Address1324 HIGHWAY 138 SWRiverdale, GA 30296-1404
Mailing AddressPo Box 741539Riverdale, GA 30274-1328 · (770) 907-4949
Fax(770) 907-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710082458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 1417
1324 HIGHWAY 138 SW, Riverdale, GA 30296

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 and accepts Medicare assignment

Lula Sherri M Mitchell Pa 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.

PECOS PAC ID6406947928
PECOS Enrollment IDI20070813000101
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims46 services$5.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Internal Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Family Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Physician Assistant (Medical)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710082458, enumerated as an "individual" on September 14, 2006.

The provider is located at 1324 HIGHWAY 138 SW RIVERDALE, GA 30296 and the phone number is (770) 907-4949.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.