NPIMap

Individual provider Active NPI

Katelyn Mitchell, MD

  • Hospitalist Physician
  • Huntsville, AL
National Provider Identifier
1003471699
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD.44752 Issued in AL
Practice address
201 Sivley Rd SW Ste 500
Huntsville, AL 35801-5177
Phone
(562) 653-8862
NPI assigned
May 8, 2019
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 29481 MS
Hospitalist Physician 208M00000X MD.44752 AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221007001858 AL Practitioner - Hospitalist 2668860040 Reassigns benefits to 1 organization
I20231025002623 MS Practitioner - Hospitalist 2668860040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.44752ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physician Care Internal Medicine CurrentSince Jul 26, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center, Inc CurrentSince Oct 5, 2023 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 5, 2023 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medical Center Inc. Internal Medicine Past Accepting new patients
North Mississippi Medical Center Inc Past Accepting new patients
Healthcare Authority of the City of Huntsville Hospitalist PastSince Jul 3, 2022 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

  • Direct secure messaging: katelynmitchell@nmhs.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1003471699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 HAMMOCK ST",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358111681",
            "telephone_number": "662-509-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 500",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015177",
            "telephone_number": "562-653-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATELYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "29481",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.44752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.