NPIMap

Individual provider Active NPI

John Mitchell

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, SC
National Provider Identifier
1205886124
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
17744 Issued in SC
Practice address
125 Doughty St Ste 200
Charleston, SC 29403-5727
Phone
(843) 577-6791
NPI assigned
May 11, 2006
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17744 SC Primary

Addresses

Primary practice location

125 Doughty St Ste 200
Charleston, SC 29403-5727

Mailing address

125 Doughty St Ste 200
Charleston, SC 29403-5727
Phone (843) 577-6791

Other practice location 1

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-4490

Other practice location 2

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2450

Other identifiers 1

IdentifierTypeStateIssuer
177445MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000461 SC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 6204993496 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Tennessee, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston-Amg Specialty Hospital IncGroup PAC ID 7618407867, 17 clinicians
Charleston Pulmonary Associates PAGroup PAC ID 1759373079, 10 clinicians
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

1200 Hospital Dr
Mt Pleasant, SC 29464-3251
Phone (843) 375-4000

125 Doughty St
Suite 200
Charleston, SC 29403-5727
Phone (843) 577-6791

1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone (803) 632-3311

2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 881-0100

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2000

3500 Hwy 17 Byp N
Mt Pleasant, SC 29466-9123
Phone (843) 606-7000

416 Robertson Blvd
Suite B
Walterboro, SC 29488-2952
Phone (843) 782-4608

595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 943-2771

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.38 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17744SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Pulmonary Associates PA Critical Care Medicine CurrentSince Jul 17, 1995 Accepting new patients
Roper Hospital, Inc. CurrentSince Oct 16, 2010 Accepting new patients
Roper Hospital Inc. CurrentSince Oct 16, 2010 Accepting new patients
Charleston-Amg Specialty Hospital, Inc. CurrentSince Mar 15, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Critical Care Medicine CurrentSince Feb 9, 2025 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Feb 3, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Vibra Physicians LLC CurrentSince Feb 7, 2017 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Feb 9, 2025 Accepting new patients

Locations

101 La Rue France
Ste 500
Lafayette, LA 70508
Phone (337) 269-9566

125 Doughty St
Ste 200
Charleston, SC 29403
Phone (843) 577-6791

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

1300 Hospital Dr
Ste 180
Mt Pleasant, SC 29464
Phone (843) 388-8388

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDFBA
  • Direct secure messaging: jmitchell310924@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: john.mitchell@cpap.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Roper St. Francis Home HealthCharleston, SC, CCN 427042 Home health agency Corporate Director Mar 6, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1205886124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035727",
            "telephone_number": "843-577-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035727",
            "telephone_number": "843-577-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "17744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177445",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.