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Dr. Jan Karen Mitchell , DDS

Dentist - General Practice β€’ Augusta, GA

Active NPI 1780801035 Individual Practitioner Female Practitioner
Practice location in NPPES

1430 John Wesley Gilbert Drive
Augusta, GA 309121001

Call 7067212371 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309121001

Telephone 7067212371
Fax 7067216778
Organization at the Same NPPES Address or Phone
Au Dental Associates Facility NPI 1457541781

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2019

All general payments: $963.30 across 2 records.

By nature of payment

  • Travel and Lodging: $940.09 across 1 record.
  • Food and Beverage: $23.21 across 1 record.

Reporting-company totals

  • Septodont Inc.: $940.09 across 1 record.
  • Dentsply Sirona Inc: $23.21 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2019 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mitchell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mitchell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

119 active clinicians are listed under Dentist - General Practice with a practice address in Augusta, GA (3,148 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

0% of these 119 clinicians have the CMS telehealth indicator.

0.8% of these 119 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $963.30.

Manufacturer Payment Nature Product Type Amount ($)
Septodont Inc.
Travel and Lodging
Cash or cash equivalent
BIODENTINE General $940.09
Dentsply Sirona Inc
Food and Beverage
In-kind items and services
TPH Spectra General $23.21

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES GA DN009079

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
ZG9079 (SC)
Other Identifier Tricare
1418385 (GA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20160212000365

Enrollment State Jurisdiction

GA

PECOS Control ID

9638473556

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Dr. Rafik Abdelsayed , DDS, MS

Dentist - Oral and Maxillofacial Pathology

NPI 1902854110

Doctor of Dental Surgery, Master of Science

NPI 1265815997

Doctor of Dental Surgery, Master of Science, MCLINDENT

John Beaty

Student in an Organized Health Care Education/Training Program

NPI 1346940095
NPI 1588189435

Doctor of Dental Surgery, Master of Science

Dr. Brett Burford , DMD

Dentist - General Practice

NPI 1487054672

Doctor of Dental Medicine

Dr. Gary Chike , DMD

Dentist - General Practice

NPI 1912004359

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 25, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309121001 (Tel: 7067212371)

πŸ“
Updated Business Mailing Address March 25, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 309120001 (Tel: 7067212371)

βœ…
NPI Profile Active January 12, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

πŸ“
Business Mailing Address (Initial Record) January 12, 2012

Registered at 1120 15TH ST, GC-1024, AUGUSTA, GA 309120004 (Tel: 7067219633)

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2012

Recorded as JAN MITCHELL, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2012

Dentist (license number reported to NPPES: GA DN009079)

🟒
Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780801035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: March 25, 2021
Sole Proprietor: No

Other Dentist - General Practices in Augusta

All Dentist - General Practices in Augusta

Mailing Address

1430 John Wesley Gilbert Drive Gc-1012

Augusta, GA 309120001

Phone: 7067212371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.