Individual provider Active NPI

William Mitchell, MD

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1306406087
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LL82821 Issued in SC
Practice address
169 Ashley Ave RM 202
Charleston, SC 29425-8905
Phone
(843) 876-8023
NPI assigned
Jun 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL82821 SC Primary

Addresses

Primary practice location

169 Ashley Ave RM 202
Charleston, SC 29425-8905

Mailing address

616 Antebellum LN
Mount Pleasant, SC 29464-7857
Phone (205) 494-2293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220527000701 AL Practitioner - Emergency Medicine 2163753153 Reassigns benefits to 11 organizations
I20260409002290 KS Practitioner - Emergency Medicine 2163753153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston County Healthcare AuthorityGroup PAC ID 9436062296, 256 clinicians
Decatur Morgan Emergency MedicineGroup PAC ID 0446680862, 24 clinicians
Emergency Services of Mobile, PCGroup PAC ID 5092968255, 33 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

1201 7TH St NE
Decatur, AL 35601-3337
Phone (256) 973-2000

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3450

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123
  • St Vincents Blount Hospital, Oneonta, AL, CCN 011305

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Crestwood HB Medical Services LLC Emergency Medicine CurrentSince Oct 24, 2025 Accepting new patients
Decatur Morgan Emergency Medicine Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Emergency Services of Mobile PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1337 Burwell Rd
Harvest, AL 35749
Phone (256) 998-6820

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 12

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 6

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1306406087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 ANTEBELLUM LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647857",
            "telephone_number": "205-494-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-16",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL82821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.