Individual provider Active NPI

Charles Walter Mitchell, M.D.

  • Family Medicine Physician
  • Killeen, TX
National Provider Identifier
1285730705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F8247 Issued in TX
Practice address
3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4400
Phone
(254) 554-8773
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F8247 TX Primary

Addresses

Primary practice location

3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4400

Mailing address

PO Box 10308
Killeen, TX 76547-0308
Phone (254) 526-5970

Other identifiers 1

IdentifierTypeStateIssuer
0026KVOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040203000671 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1456244607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians
Stillhouse Emergency PhysiciansGroup PAC ID 1759274905, 3 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

3816 Clear Creek Rd
Suite E
Killeen, TX 76549-4401

3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4401
Phone (254) 554-8773

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • Texmed Home Health Inc Home health agency, Killeen, TX, CCN 457922
  • Elara Caring Home health agency, Round Rock, TX, CCN 457661
  • Accentcare Home Health of Temple Home health agency, Temple, TX, CCN 457443
  • Centerwell Home Health Home health agency, Temple, TX, CCN 457096
  • Adaptive Home Health Home health agency, Temple, TX, CCN 458194
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
  • Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F8247TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Dec 6, 2025 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Dec 6, 2025 Accepting new patients
Stillhouse Emergency Physicians Family Medicine CurrentSince Dec 2, 2003 Accepting new patients
Ctems Inc Family Medicine PastSince Mar 29, 2012 Accepting new patients
Michael S. Figueroa, M.D., P.a. Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

3816 Clear Creek Rd
Ste E
Killeen, TX 76549
Phone (254) 554-8773

3816 Clear Creek Rd
Killeen, TX 76549
Phone (254) 526-8446

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Organizations & group practices 5

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.

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285730705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10308",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470308",
            "telephone_number": "254-526-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S CLEAR CREEK RD",
            "address_2": "SUITE E",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "254-554-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLES",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F8247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0026KV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.