Organization Active NPI

Terence B Mitchell MD Inc

  • Family Medicine Physician
  • Niceville, FL
National Provider Identifier
1316472368
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TERENCE B MITCHELL MD INC
Practice address
2600 Partin Dr N Ste 300
Suite 330
Niceville, FL 32578-1543
Phone
(850) 279-4466
Fax
(858) 502-7989
NPI assigned
Apr 27, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Terence B Mitchell, MDNPI 1861456592
Title
MBR
Phone
(850) 642-8963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2600 Partin Dr N Ste 300
Suite 330
Niceville, FL 32578-1543

Mailing address

2600 Partin Dr N Ste 300
Suite 330
Niceville, FL 32578-1543
Phone (850) 279-4466

National Provider Directory

National Provider Directory

Locations

2600 Partin Dr N
Ste 300
Niceville, FL 32578
Phone (850) 279-4466

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15878/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1316472368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 300",
            "address_2": "SUITE 330",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-4466",
            "fax_number": "858-502-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 300",
            "address_2": "SUITE 330",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781543",
            "telephone_number": "850-279-4466",
            "fax_number": "858-502-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE B MITCHELL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "850-642-8963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.