Tarissa Mitchell, M.D.

Pediatrics Physician · Jonesboro, GA

Individual Active NPI

NPI number 1235306838

Practice location

2400 Mount Zion Pkwy
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236-2500
Phone
(770) 603-3612

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NPI record

NPI
1235306838
Entity type
Individual (Type 1)
Enumeration date
May 13, 2008
Last updated
January 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 060672 GA

Mailing address

3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1717
Phone
(404) 364-7070

About Dr. Mitchell

Tarissa Mitchell, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500. The NPI number 1235306838 was assigned on May 13, 2008 and the record was last updated on January 7, 2022.

Dr. Mitchell lists a license in the registry: #060672 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tarissa Mitchell, M.D.?

The NPI number is 1235306838.

What is the phone number of Dr. Mitchell?

The phone number listed for the practice location is (770) 603-3612.

Where is Dr. Mitchell located?

2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500.

What is the taxonomy code for Dr. Mitchell?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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