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KIA ANESIA MITCHELL MSN, APRN, NP-C
NPI 1720647035
Nurse Practitioner - Family in Decatur, GA

Active since June 10, 2019PECOS Enrolled
2657 CLOUD LN, DECATUR, GA 30034(404) 789-0900 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2023, Jun 18, 2019, Jun 10, 2019 (3 updates tracked since 2019).

About Kia Anesia Mitchell Msn, Aprn, Np-c NPPES

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

KIA ANESIA MITCHELL MSN, APRN, NP-C (NPI 1720647035) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN187184) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720647035
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIA ANESIA MITCHELLCredential: MSN, APRN, NP-C
Location Address2657 CLOUD LNDecatur, GA 30034-2257
Mailing Address2657 Cloud LnDecatur, GA 30034-2257 · (404) 789-0900
Phone(404) 789-0900
Sole ProprietorYes
Enumeration DateJune 10, 2019
Last NPPES UpdateMarch 16, 20233 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1720647035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN187184✔ Licensed in MD · AC002764
Also ListedHealth EducatorTaxonomy 174H00000X · License W51662 (CA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AC005185 (MD)
2657 CLOUD LN, Decatur, GA 30034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kia Anesia Mitchell Msn, Aprn, Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kia Mitchell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ennoble Hc Dmv LLC
554 mi
Geriatric Medicine
8115 MAPLE LAWN BLVD STE 350
Fulton, MD 20759
  • Reassigned Medicare billing, Georgia enrollment
  • 67 clinicians in this Medicare group
NPI 1104492115 (862) 812-9010
Signify Health Medical Associates, PLLC
731 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 30034 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kia Mitchell's NPI number?

The NPI number for Kia Mitchell is 1720647035. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Kia Mitchell located?

Kia Mitchell practices at 2657 Cloud Ln, Decatur, GA 30034. The listed phone number is (404) 789-0900.

What is Kia Mitchell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kia Mitchell enrolled in Medicare?

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

Which organizations bill Medicare for Kia Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kia Mitchell reassigns Medicare benefits to 2 organizations: Ennoble Hc Dmv LLC (Fulton, MD) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Kia Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kia Mitchell accept?

Health plans from CareSource (Common Ground Healthcare) list Kia 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.

When was this NPI record last updated?

The NPPES record for Kia Mitchell was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.