NPI age
7 years
Enumerated 2019-01-23
● Active
Type 1 · Individual
MRS. Stacey Lasandra Mitchell, NP
Mitchell is 1 of 32 nurse practitioner providers in Fayetteville and 1 of 1622 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Practice location
320 Lanier Ave W Ste 200
Fayetteville, GA 302147443
Mailing address
1415 Highway 85 N Ste 310-390
Fayetteville, GA 302147738
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1245794387 | NPI |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new nurse practitioner providers have been added in Fayetteville in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.