Individual provider Active NPI

William Dolan Mitchell

  • Surgery Physician
  • Columbus, GA
National Provider Identifier
1093362972
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
103752 Issued in GA
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

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250902001772 GA Practitioner - General Surgery 7618391319 Reassigns benefits to 1 organization

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
Columbus Surgical Specialists, LLCGroup PAC ID 6103120670, 5 clinicians

Practice addresses (Care Compare)

1900 10TH Ave
Suite 201
Columbus, GA 31901-3602
Phone (706) 984-7400

Hospital & facility affiliations

  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103752GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Surgical Specialists, LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

1900 10th Ave
Ste 201
Columbus, GA 31901
Phone (706) 596-1327

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12736/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.