Healthcare Provider Details

I. General information

NPI: 1225975915
Provider Name (Legal Business Name): PAIGE ELIZABETH MITCHELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 LANEY WALKER BLVD
AUGUSTA GA
30912-0002
US

IV. Provider business mailing address

4898 SOMERSET DR
EVANS GA
30809-8254
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-7005
  • Fax: 706-446-3546
Mailing address:
  • Phone: 708-205-7946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number112514
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: