Active NPI
Mitchell Medics
- Land Ambulance
- Bakersville, NC
National Provider Identifier
1124607304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MITCHELL MEDICS
- Practice address
- 121 Forest Service Dr
Bakersville, NC 28705-7047 - Phone
- (336) 846-9111
- NPI assigned
- Apr 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Sullivan
- Title
- Ceo
- Phone
- (336) 846-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
121 Forest Service Dr
Bakersville, NC 28705-7047
Mailing address
716 Mount Jefferson Rd
West Jefferson, NC 28694-8379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210910002913 | NC | Part B Supplier - Ambulance Service Supplier | 1355747601 | Practice locations: Bakersville, NC |
National Provider Directory
National Provider DirectoryLocations
125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1124607304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 MOUNT JEFFERSON RD",
"city": "WEST JEFFERSON",
"state": "NC",
"postal_code": "286948379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FOREST SERVICE DR",
"city": "BAKERSVILLE",
"state": "NC",
"postal_code": "287057047",
"telephone_number": "336-846-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL MEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-06",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-846-9111"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersville, NC
- Mitchell County DSS
- Mitchell County Group Home
- Mitchell County Group Home
- Mitchell County Schools
- Mitchell County Transportation Authority
- Mountain Community Health Partnership Incorporated
- Mountain Community Health Partnership Incorporated
- Charles Frederick Nash, D.D.S.
- Bethany Ariel Norris
- Keri Buchanan Norris, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.