Active NPI
Gregory Mizell
- Social Worker
- Altamonte Springs, FL
National Provider Identifier
1073941944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 455 Douglas Ave
Suite 2155-4
Altamonte Springs, FL 32714-2569 - Phone
- (407) 529-4940
- Fax
- (321) 952-0294
- NPI assigned
- Oct 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
455 Douglas Ave
Suite 2155-4
Altamonte Springs, FL 32714-2569
Mailing address
455 Douglas Ave
Suite 2155-4
Altamonte Springs, FL 32714-2569
Phone (407) 529-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gecs of Florida Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Apopka, FL
- NPI 1124572326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1073941944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 DOUGLAS AVE",
"address_2": "SUITE 2155-4",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142569",
"telephone_number": "407-529-4940",
"fax_number": "321-952-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 DOUGLAS AVE",
"address_2": "SUITE 2155-4",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142569",
"telephone_number": "407-529-4940",
"fax_number": "321-952-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZELL",
"first_name": "GREGORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-31",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.