Kellie Michelle Mitchell, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1100 Belk Blvd
Oxford, MS 38655-5242

Phone

(662) 636-1000

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Mississippi School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi LTAC Holdings, LLCGroup PAC ID 5395135677, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
• North Mississippi Specialty Hospital Long-term care hospital, Batesville, MS, CCN 252014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mississippi LTAC Holdings, LLC

  • Long Term Care Hospital
  • Batesville, MS
  • NPI 1144983685
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Xcviii, LLC

  • Home Health Agency
  • Batesville, MS
  • NPI 1275068959
  Care Compare affiliation
• Mississippi LTAC Holdings, LLC

  • Long Term Care Hospital
  • Batesville, MS
  • NPI 1144983685

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1245934900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELLIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Counseling Services PLLC
• Mitchell Counseling Services, PLLC
• Caden Asher Mitchell
• Cassandra Elaine Mitchell, AA
• Joyce S. Mitchell, L.P.C.
• Hannah Jade Mixon, PCMHT
• Mobilemed Ms LLC
• Sierra Molina, MCJ
• Jayme Renee Monfee
• Joel David Montgomery, MPT

• Student in an Organized Health Care Education/Training Program in Oxford, MS
• Providers in Oxford, MS by specialty
• Student in an Organized Health Care Education/Training Program in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.