Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Anderson Mitchell

Individual provider Family Medicine Physician · NPI 1356800742

Jacob Anderson Mitchell is a Family Practice in Peachtree City, Georgia. Qualified in 2019, 7 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Utah.

Years since qualifying
7
Licensed in
GA, UT
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

100 Genevieve Ct Ste A
Peachtree City, GA 30269-4868
Phone: (770) 486-1818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 W 940 N, Provo, UT 84604-3301 — (801) 357-7686

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 91704 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11837364-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356800742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 15, 2019
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address100 Genevieve Ct Ste A, Peachtree City, GA 30269-4868

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Peachtree City