Individual provider Active NPI

Paige Ashley Mitchell, DC

  • Chiropractor
  • Paragould, AR
National Provider Identifier
1215765854
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12407 Issued in AR
Practice address
1005 Linwood Dr Ste B
Paragould, AR 72450-4919
Phone
(870) 335-2172
NPI assigned
Jul 24, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12407 AR Primary
Acupuncturist 171100000X 12407 AR

Addresses

Primary practice location

1005 Linwood Dr Ste B
Paragould, AR 72450-4919

Mailing address

1510 Shiloh Rd
Paragould, AR 72450-7036
Phone (870) 476-2319

Other practice location 1

211 N 23rd St Ste 3
Paragould, AR 72450-3984
Phone (870) 573-0763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218002562 AR Practitioner - Chiropractic 5092235275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Linwood Dr
Suite B
Paragould, AR 72450-4919
Phone (870) 335-2172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12407ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Health Chiropractic, LLC Chiropractor CurrentSince Jul 1, 2024 Accepting new patients
Shiloh Acupuncture and Chiropractic, PLLC Chiropractor CurrentSince Dec 15, 2024 Accepting new patients

Locations

1005 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 335-2172

211 N 23rd St
Ste 3
Paragould, AR 72450
Phone (870) 537-0763

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1215765854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SHILOH RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507036",
            "telephone_number": "870-476-2319",
            "fax_number": "870-359-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 LINWOOD DR STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504919",
            "telephone_number": "870-335-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N 23rd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724503984",
            "country_code": "US",
            "telephone_number": "870-573-0763",
            "fax_number": "870-359-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PAIGE",
        "middle_name": "ASHLEY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12407",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AR",
            "license": "12407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.