Individual provider Active NPI

Joseph Henry Mitchell Jr., FNP

  • Occupational Health Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1285389064
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
1-131747 Issued in AL
Practice address
731 Leighton Ave
Anniston, AL 36207-5761
Phone
(256) 741-6464
Fax
(256) 741-6494
NPI assigned
Feb 19, 2022
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 1-131747 AL Primary

Addresses

Primary practice location

731 Leighton Ave
Anniston, AL 36207-5761

Mailing address

208 E 2ND St
Oxford, AL 36203-1737
Phone (256) 499-6866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208003433 AL Practitioner - Nurse Practitioner 9537502356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-131747ALMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC Multi-Specialty CurrentSince Jan 5, 2024 Accepting new patients
Keel and Associates Multi-Specialty CurrentSince Jan 5, 2024 Accepting new patients

Locations

324 E 19th St
#201
Anniston, AL 36207
Phone (205) 409-2794

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954
Phone (256) 344-0065

150 Tompkins St
Heflin, AL 36264
Phone (256) 463-2390

225 Helena Market Pl
Helena, AL 35080
Phone (205) 409-2794

1575 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 330-1707

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1285389064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 2ND ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031737",
            "telephone_number": "256-499-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075761",
            "telephone_number": "256-741-6464",
            "fax_number": "256-741-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AL",
            "license": "1-131747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.