NAOMI BIANCA MITCHELL (M.S., R.D., L.D.) – Registered Dietitian, NPI 1376107342
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NAOMI BIANCA MITCHELL (M.S., R.D., L.D.)
706 KNIGHT CHASE DR
STOCKBRIDGE, GA 302812070
Phone: (702) 581-7700
Type: Mailing
110 WALTER WAY UNIT 1888
STOCKBRIDGE, GA 302819520
Phone: (678) 994-2700
Type: Mailing
125 EAGLES WALK STE 100
STOCKBRIDGE, GA 302817239
Phone: (678) 994-2700
Fax: (678) 737-1492
Type: Location
Eagles Walk, Stockbridge, Henry County, Georgia, 30281, United States
STOCKBRIDGE, GA 302817249
Phone: (678) 364-2326
Type: Location
2268 Fountain Sq
Snellville, GA 300785757
Phone: (678) 364-2326
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: 2021-05-17
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 |
|---|---|---|---|---|
| I20210517001081 | I | Registered Dietitian Or Nutrition Professional | 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 30281)
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