MS. TENISHA MITCHELL (DNP, AGACNP-BC, NP-C) – Acute Care Nurse Practitioner, NPI 1326391491
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MS. TENISHA MITCHELL (DNP, AGACNP-BC, NP-C)
5857 EL SEGUNDO WAY
COLLEGE PARK, GA 303497519
Phone: (404) 429-9881
Type: Mailing
550 PEACHTREE ST NE
ATLANTA, GA 303082208
Phone: (404) 686-4411
Type: Location
744 OAK DR
RIVERDALE, GA 302744123
Phone: (404) 429-9881
Type: Mailing
80 JESSE HILL JR DR SE
ATLANTA, GA 303033031
Phone: (404) 616-4391
Type: Location
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: 2020-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20121211000058 | I | Nurse Practitioner | GA | TBD |
| I20201211000807 | I | Nurse Practitioner | AL | 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 30349)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | GA | |
| Gastroenterology, Internal Medicine | GA | |
| - | GA | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| Internal Medicine, Infectious Disease | GA |
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