KYLE DARREN MITCHELL (D.O.) – Family Medicine Physician, NPI 1316928138
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KYLE DARREN MITCHELL (D.O.)
960, Woodstock Parkway, Cardinal Woods, Woodstock, Cherokee County, Georgia, 30188, United States
STE 300
WOODSTOCK, GA 30188
Phone: (770) 517-2145
Fax: (770) 517-2147
Type: Mailing
15876 MEADOW KING COURT
ALPHARETTA, GA 30004
Phone: (678) 571-7684
Fax: (770) 421-8096
Type: Mailing
1455 BELLS FERRY ROAD
SUITE 100
MARIETTA, GA 30066
Phone: (770) 421-8094
Fax: (770) 421-8096
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-08-02 • Largest payer in this snapshot: ABBVIE INC. ($18).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $18 |
| Novo Nordisk Inc | $14 |
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: 2004-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505000320 | I | Family Practice | GA | TBD |
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.
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 30188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Internal Medicine | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Endocrinology | GA |
Reviews
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