Active NPI
Anthony L Mitchell, MD
- Emergency Medicine Physician
- Jbsa Lackland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D69403
- Practice address
- 1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638 - Phone
- (210) 292-3442
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | U4431 | TX | |
| Emergency Medicine Physician | 207P00000X | 024342 | LA | |
| Emergency Medicine Physician | 207P00000X | 057221 | GA | |
| Emergency Medicine Physician | 207P00000X | MD-25719 | HI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | U4431 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 057221 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 024342 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D69403 | MD | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD-25719 | HI | |
| Emergency Medicine Physician | 207P00000X | D69403 | MD | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Mailing address
1100 Wilford Hall Loop BLDG 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-3442
Other practice location 1
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 292-3442
Other practice location 2
Waianae Coast Comprehensive Healthcare
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 697-3462
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137 | Other | MD | BLUE CROSS |
| 342360871B | Medicaid | GA | |
| 0137 | Other | GA | BLUE CROSS |
| P00334342 | Other | GA | RAILRAOD MEDICARE |
| 361896 | Other | GA | WELLCARE |
| 342360871A | Medicaid | GA | |
| 419682100 | Medicaid | MD | |
| MD-25719 | Other | HI | STATE LICENSE |
| 52173131 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, GA, MD, OK, TX, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129000766 | LA | Practitioner - Emergency Medicine | 3173426913 | Reassigns benefits to 10 organizations |
| I20060802000502 | GA | Practitioner - Emergency Medicine | 3173426913 | Reassigns benefits to 9 organizations |
| I20110624000476 | MD | Practitioner - Emergency Medicine | 3173426913 | Reassigns benefits to 2 organizations |
| I20220712000208 | OK | Practitioner - Critical Care (Intensivists) | 3173426913 | Reassigns benefits to 1 organization |
| I20240301000385 | TX | Practitioner - Internal Medicine | 3173426913 | Reassigns benefits to 2 organizations |
| I20251013003009 | HI | Practitioner - Emergency Medicine | 3173426913 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ed Physicians of West Louisiana, LLCWaianae District Comprehensive Health and Hospital Board IncorporatedEmergency Medicine Physicians of Honolulu Pali Momi LLC
Practice addresses (Care Compare)
503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4700
86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300
98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 485-4301
Hospital & facility affiliations
- Fmol Health St Francis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belle Chasse Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Northern Louisiana Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Group of Columbus, LLC | Emergency Medicine | Current | Accepting new patients |
| Heritage Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Hsa Louisiana Physician Group Inc | Current | Accepting new patients | |
| Acs Primary Care Physicians Louisiana PC | Emergency Medicine | Current | Accepting new patients |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current | Accepting new patients | |
| Monroe Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| WHC Emerg Phys | Current | Accepting new patients | |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Waianae District Comprehensive Health and Hospital Board, Inc | Emergency Medicine | Current | Accepting new patients |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Physician Group of Louisiana Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Foucher Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Northern Louisiana Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Union Hospital of Cecil County | Emergency Medicine | Current | Accepting new patients |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Sound Physicians Intensivists of Georgia PC | Critical Care Medicine | Current | Accepting new patients |
| Phoebe Worth Medical Center, Inc | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Physician Group of Louisiana Inc | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| The Emergency Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Honolulu Pali Momi, LLC | Emergency Medicine | Current | Accepting new patients |
| Ed Physicians of West Louisiana, LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Worth Medical Center, Inc | Current | Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Radiology Associates of Southwest Louisiana | Past | Accepting new patients | |
| Dimensions Health Corporation | Emergency Medicine | Past | Accepting new patients |
| Emory Health Care | Past | Accepting new patients |
Locations (25 of 48)
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851
1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000
770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
309 Jackson St
#C
Monroe, LA 71201
Phone (318) 966-4171
Interoperability endpoints
- anthony.mitchell@hca5.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/AJEDBA/Endpoint/AJEDBA
- anthony.mitchell.p1@direct.wcchc.nextgenshare.com
- amitchell16366@direct.casso.us.com
Organizations & group practices 59
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- West Monroe, LA
- NPI 1255460143
Emergency Medicine, LA
-
- Emergency Medicine Physician
- Aiea, HI
- NPI 1699076976
Emergency Medicine, HI
-
- Family Medicine Physician
- Waianae, HI
- NPI 1275566424
Emergency Medicine, HI
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Emergency Medicine, LA
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
Emergency Medicine, TX
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
Emergency Medicine, LA
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1851714075
Emergency Medicine, LA
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
Emergency Medicine, GA
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1871879007
Emergency Medicine, LA
Hospital & facility affiliations 1
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": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1013968080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-3442"
}
],
"practiceLocations": [
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Jbsa Ft Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-292-3442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Waianae Coast Comprehensive Healthcare",
"address_2": "86-260 Farrington Hwy",
"address_purpose": "LOCATION",
"city": "Waianae",
"state": "HI",
"postal_code": "96792",
"country_code": "US",
"telephone_number": "808-697-3462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "ANTHONY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2025-07-21",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U4431",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "024342",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "057221",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD-25719",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "U4431",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "057221",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "024342",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D69403",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "HI",
"license": "MD-25719",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D69403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0137",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342360871B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0137",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "P00334342",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "361896",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342360871A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419682100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD-25719",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52173131",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.