Katelyn Mitchell, MD
Individual provider Active NPI Hospitalist Physician · Huntsville, AL
NPI 1003471699 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1003471699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- MD.44752 (AL)
- Practice address
- 201 Sivley Rd SW Ste 500
Huntsville, AL 35801-5177 - Phone
- (562) 653-8862
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Medical Center, Inc.
Practice addresses (Care Compare)
830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000
Hospital & facility affiliations
- North Mississippi Medical Ctr HHA
- North Mississippi Medical Center
- Baptist Memorial Hospital Booneville
- Pontotoc Health Service Inc Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221007001858 | AL | Practitioner - Hospitalist | 2668860040 | Reassigns benefits to 1 organization |
| I20231025002623 | MS | Practitioner - Hospitalist | 2668860040 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.44752 | AL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center, Inc | Current |
Accepting new patients | |
| HH Physician Care | Internal Medicine | Current |
Accepting new patients |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Past | Accepting new patients | |
| North Mississippi Medical Center Inc. | Internal Medicine | Past | Accepting new patients |
| Healthcare Authority of the City of Huntsville | Hospitalist | Past |
Accepting new patients |
| North Mississippi Medical Center, Inc. | Past | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
830 S Gloster St
Ste B
Tupelo, MS 38801
Interoperability endpoints
- katelynmitchell@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 29481 | MS | |
| Hospitalist Physician | 208M00000X | MD.44752 | AL | Yes |
Addresses
Primary practice location
201 Sivley Rd SW Ste 500
Huntsville, AL 35801-5177
Mailing address
1521 Hammock St
Huntsville, AL 35811-1681
Phone (662) 509-2396
Other providers in Huntsville, AL
- Devi P Misra
- Elijah Harmon Mitcham
- Amber Mitchell
- Andrew B Mitchell
- Chase Matthew Mitchell
- Kerry Mitchell
- Laurin Mitchell
- Leslie Mitchell
- Linda Dianne Mitchell
- Penelope Mitchell
All providers in Huntsville, AL · Hospitalist Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.