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

Q: What is Lula Sherri Mitchell's NPI number?

The NPI number for Lula Sherri Mitchell is 1710082458. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Lula Sherri Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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: August 16, 2026.

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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, is affiliated with Grady Memorial Hospital, 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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

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 7

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

SHONTIAYA S. PATTERSON FNP

Nurse Practitioner (Family)