JESSICA BRUMFIELD MITCHUM (DO) – Family Medicine Physician, NPI 1629510912
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for JESSICA BRUMFIELD MITCHUM (DO)
PO BOX 1993
MOULTRIE, GA 317761993
Phone: (229) 502-9769
Fax: (229) 985-3751
Type: Mailing
1, Magnolia Court, Moultrie, Colquitt County, Georgia, 31768, United States
MOULTRIE, GA 317686764
Phone: (229) 502-9769
Fax: (229) 985-3751
Type: Location
PO BOX 2876
MOULTRIE, GA 317762876
Phone: (229) 502-9769
Type: Mailing
3131 S MAIN ST
MOULTRIE, GA 317686925
Phone: (229) 502-9769
Fax: (229) 985-3751
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($48).
Total Amount
$188
General + Research + Ownership
Payments
7
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $48 |
| PFIZER INC. | $46 |
| Lilly USA, LLC | $35 |
| Gilead Sciences, Inc. | $33 |
| ABBVIE INC. | $26 |
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: 2019-08-28
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 |
|---|---|---|---|---|
| I20190828003008 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 84 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 65 | 53 | $0 |
| 83036 | Hemoglobin a1c level | 56 | 35 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 31776)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| General Surgery | GA | |
| Family Practice | GA | |
| Physician Assistant | GA |
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