Healthcare Provider Details

I. General information

NPI: 1023409216
Provider Name (Legal Business Name): KARI MITCHELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI LOW PA-C

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 PEACHTREE DUNWOODY RD STE 230
ATLANTA GA
30328-5909
US

IV. Provider business mailing address

6105 PEACHTREE DUNWOODY RD STE 230
ATLANTA GA
30328-5909
US

V. Phone/Fax

Practice location:
  • Phone: 770-913-0001
  • Fax: 770-913-0005
Mailing address:
  • Phone: 770-913-0001
  • Fax: 770-913-0005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA52251
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number13093
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: