Mitchell Myers, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

10213 Issued in MS

Legal business name

MITCHELL MYERS, M.D.

Practice address

2906 North State Street
Suite 301
Jackson, MS 39216

Phone

(601) 982-1001

Fax

(601) 982-1288

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Mitchell J Myers, MD

Title

Owner

Phone

(601) 982-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mississippi Headache Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Page Oetzel Husband, NP-C

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1285773358
  NPD (past)
• Christina Treppendahl, FNP-BC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1922273499
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1235454059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 757",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39215",
            "telephone_number": "601-982-1001",
            "fax_number": "601-982-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 NORTH STATE STREET",
            "address_2": "SUITE 301",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-982-1001",
            "fax_number": "601-982-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL MYERS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-982-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "10213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112521",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Headache Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi Surgical Center LP
• Mississippi Urology Clinic, PLLC
• Mississippi Urology Outpatient Surgery Center, LLC
• Mississippi Vascular Center, PLLC
• Mississippi Vision Center
• Allison Mitchell, CCC-SLP
• Anna Carol Mitchell, CPNP-AC/PC
• April Layne Mitchell, PMHNP
• April Nicole Mitchell, PCMHT
• Ashley B. Mitchell, M.S., C.C.C., S.L.P.

• Neurology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.