Individual provider Active NPI

Janice Mitchell, DO

  • Emergency Medicine Physician
  • Tupelo, MS
National Provider Identifier
1033797550
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30789 Issued in MS
Practice address
201 W Main St
Tupelo, MS 38804-3917
Phone
(662) 432-4106
NPI assigned
Mar 29, 2021
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30789 MS Primary
Family Medicine Physician 207Q00000X 30789 MS

Addresses

Primary practice location

201 W Main St
Tupelo, MS 38804-3917

Mailing address

2555 Saint Andrews Dr
Belden, MS 38826-9538
Phone (228) 234-2912

Other practice location 1

1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000310 MS Practitioner - Family Practice 7315340965 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians
Relias Emergency Medicine Specialists of West Point, LLCGroup PAC ID 0042648594, 24 clinicians
Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
30789MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Jun 28, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Jul 29, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Nov 21, 2024 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

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

Organizations & group practices 10

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 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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1033797550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 SAINT ANDREWS DR",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269538",
            "telephone_number": "228-234-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043917",
            "telephone_number": "662-432-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 S Green St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046556",
            "country_code": "US",
            "telephone_number": "662-377-2189",
            "fax_number": "662-377-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JANICE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "30789",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "30789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.