Search › Georgia › 207Q00000X
Jacob Mitchell
NPI 1356800742 · on the registry since 2019 · sole proprietor
Practice
- Address
- 100 Genevieve Ct Ste A
Peachtree City, GA 30269 - Phone
- (770) 486-1818
- Clinicians at this address
- 8
Additional practice sites
- 475 W 940 N, Provo, UT
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
390200000X - Licence states on file
- UT, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia