Marcia Elaine Mitchell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME93742 Issued in FL

Practice address

221 Pecan Park Ave
Alexandria, LA 71303-3361

Phone

(318) 487-1602

Fax

(318) 487-1603

NPI assigned

Aug 5, 2007

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEFAD/Endpoint/IDEFAD

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.

• Mitchells Pediatrics LLC

  • Pediatrics Physician
  • Alexandria, LA
  • NPI 1366785560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1275724411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033361",
            "telephone_number": "318-487-1602",
            "fax_number": "318-487-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PECAN PARK AVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033361",
            "telephone_number": "318-487-1602",
            "fax_number": "318-487-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARCIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93742",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "FL",
            "license": "ME93742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniqua S. Minton, LMSW
• Rainnier Dwight Mira, PA-S
• Rennie Mira
• Jessica Teresa Miranda
• Ashley Mitchell
• Shaundreka Mitchell
• Mitchells Pediatrics LLC
• Angelia Mock
• Katie Evans Moffit, DDS, MSD
• Keith Davis Moffit, D.O.

• Pediatrics Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.