Active NPI
William Dolan Mitchell
- Surgery Physician
- Columbus, GA
National Provider Identifier
1093362972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 103752
- Practice address
- 1900 10TH Ave Ste 201
Columbus, GA 31901-3602 - Phone
- (706) 984-7400
- NPI assigned
- Aug 24, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 103752 | GA | Primary |
Addresses
Primary practice location
1900 10TH Ave Ste 201
Columbus, GA 31901-3602
Mailing address
1900 10TH Ave Ste 201
Columbus, GA 31901-3602
Phone (706) 984-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Mercer University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 10TH Ave
Suite 201
Columbus, GA 31901-3602
Phone (706) 984-7400
Hospital & facility affiliations
- Piedmont Columbus Regional Northside
- Piedmont Columbus Regional Midtown
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103752 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Surgical Specialists, LLC | Single Specialty | Current | Accepting new patients |
Locations
1900 10th Ave
Ste 201
Columbus, GA 31901
Phone (706) 596-1327
Interoperability endpoints
- https://api.platform.athenahealth.com/12736/brand/1/csg/1/fhir/r4
- william.mitchell.1@12736.direct.athenahealth.com
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1093362972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 10TH AVE STE 201",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319013602",
"telephone_number": "706-984-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 10TH AVE STE 201",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319013602",
"telephone_number": "706-984-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "WILLIAM",
"middle_name": "DOLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-24",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "103752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.