Individual provider Active NPI

Amy Britain Mitchell, P.A.

  • Physician Assistant
  • Columbus, NC
National Provider Identifier
1174850028
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09616 Issued in NC
Practice address
55 Palmer Jervey Dr
Ste B
Columbus, NC 28722
Phone
(828) 894-2473
Fax
(828) 894-2390
NPI assigned
Nov 13, 2009
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2253 SC
Physician Assistant 363A00000X 0010-09616 NC Primary

Addresses

Primary practice location

55 Palmer Jervey Dr
Ste B
Columbus, NC 28722

Mailing address

1363 7TH Ave E
Hendersonville, NC 28792-2804
Phone (828) 698-5757

Other practice location 1

2430 Reidville Rd
Spartanburg, SC 29301-3652
Phone (828) 894-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150813011073 SC Practitioner - Physician Assistant 5395874481 Reassigns benefits to 1 organization
I20200519002858 NC Practitioner - Physician Assistant 5395874481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Texas HSC, College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical and Surgical Dermatology, LLCGroup PAC ID 8527969039, 4 clinicians

Practice addresses (Care Compare)

2430 Reidville Rd
Spartanburg, SC 29301-3652
Phone (904) 664-8644

52 Hospital Dr
Suite 3a
Columbus, NC 28722-8516

55 Palmer Jervey Dr
Suite B
Columbus, NC 28722-0580
Phone (904) 831-6228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-09616NCMDPhysician Assistant
PA2253SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Surgical Dermatology, LLC PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1174850028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 7TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922804",
            "telephone_number": "828-698-5757",
            "fax_number": "828-698-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PALMER JERVEY DR",
            "address_2": "STE B",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "28722",
            "telephone_number": "828-894-2473",
            "fax_number": "828-894-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Reidville Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293013652",
            "country_code": "US",
            "telephone_number": "828-894-2473",
            "fax_number": "828-894-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMY",
        "middle_name": "BRITAIN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "PA2253",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

Verify at the official NPI Registry.