Individual provider Active NPI

Aaron Jay Mitchell, M.D.

  • Family Medicine Physician
  • Marion, AR
National Provider Identifier
1275852188
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7944 Issued in AR
Practice address
924 State Highway 77
Marion, AR 72364-9004
Phone
(870) 739-8670
Fax
(870) 739-8706
NPI assigned
May 18, 2010
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E7944 AR Primary

Addresses

Primary practice location

924 State Highway 77
Marion, AR 72364-9004

Mailing address

924 State Highway 77
Marion, AR 72364-9004
Phone (870) 739-8670

Other identifiers 1

IdentifierTypeStateIssuer
198344001MedicaidAR

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130722000187 AR Practitioner - Family Practice 3173764925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony Health Clinic Wynne, PLLCGroup PAC ID 6305217688, 11 clinicians
Mitchell Family Medicine LLCGroup PAC ID 1850633074, 9 clinicians

Practice addresses (Care Compare)

1920 Falls Blvd N
Wynne, AR 72396-4027
Phone (870) 587-0800

924 State Hwy 77
Marion, AR 72364-9004
Phone (870) 739-8670

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7944ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Family Medicine, LLC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Harmony Health Clinic Wynne, PLLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Harmony Health Clinic Wynne, PLLC Family Medicine CurrentSince Sep 9, 2022 Accepting new patients
Internal Medicine Assoc. of West Memphis Past Accepting new patients

Locations

130 J F Blvd
Lonoke, AR 72086
Phone (501) 436-0222

924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310

437 S Country Club Rd
Osceola, AR 72370
Phone (870) 563-0820

1920 Falls Blvd N
Wynne, AR 72396
Phone (870) 587-0800

Interoperability endpoints

  • Direct secure messaging: amitchell13531@direct.bmhcc.org

Organizations & group practices 7

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 10

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1275852188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649004",
            "telephone_number": "870-739-8670",
            "fax_number": "870-739-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649004",
            "telephone_number": "870-739-8670",
            "fax_number": "870-739-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AARON",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E7944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198344001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.