MEREDITH MITCHELL (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033930482

MEREDITH MITCHELL (RN) is a healthcare provider. based in Roswell, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN301214 (GA). The NPI Number for MEREDITH MITCHELL (RN) is 1033930482

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH MITCHELL (RN)
NPI
1033930482
Phone
(770) 833-4651
Address
11615 WILDWOOD SPRINGS DR
Enumeration Date
18 October 2024
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703617864
Graduation Year
2024 (2 years ago)
PAC ID
0143742643
Group Practice PAC ID
8022264696
Professional Enrollment ID
I20250313001861
Address ID
GA300628324MA2876XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MEREDITH MITCHELL (RN)

  • 11615 WILDWOOD SPRINGS DR

    ROSWELL, GA 300751837

    Phone: (770) 833-4651

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250313001861INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022264696View full group profile
NameSpecialtyState
Clinical Social WorkerGA
Mental Health CounselorGA
Marriage And Family TherapistGA
Clinical PsychologistMO
Clinical PsychologistGA
Clinical PsychologistGA
Marriage And Family TherapistGA
Mental Health CounselorOR
Mental Health CounselorGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

What is the standard ID for MEREDITH MITCHELL (RN) in the U.S.?
In the U.S., MEREDITH MITCHELL (RN) is identified by NPI 1033930482.
Quick check: is MEREDITH MITCHELL (RN) active?
Public NPPES data shows MEREDITH MITCHELL (RN) with an active NPI status right now.
What services align with MEREDITH MITCHELL (RN)'s listing?
MEREDITH MITCHELL (RN)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MEREDITH MITCHELL (RN)?
MEREDITH MITCHELL (RN) shows a connection to Roswell, Georgia in registry-derived data.
Can I export MEREDITH MITCHELL (RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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