Individual provider Active NPI

Jeffrey Mikell, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1316976285
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19251 Issued in SC
Practice address
701 Grove Rd FL 5
Greenville, SC 29605-4210
Phone
(864) 455-4411
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19251 SC Primary
Hospitalist Physician 208M00000X 057728 GA

Addresses

Primary practice location

701 Grove Rd FL 5
Greenville, SC 29605-4210

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8617

Other practice location 1

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MS, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070103000239 GA Practitioner - Internal Medicine 2567350788 Reassigns benefits to 2 organizations
I20171010000614 MS Practitioner - Internal Medicine 2567350788 Reassigns benefits to 1 organization
I20241204001389 TX Practitioner - Hospitalist 2567350788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beam Healthcare, SCGroup PAC ID 2961852785, 19 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

125 Newman St
Fairfield, TX 75840-1419
Phone (888) 250-2326

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057728GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Ms, LLC Hospitalist CurrentSince Sep 1, 2017 Accepting new patients
Frio Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Frio Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Hospitalist Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Monroe Hma Physician Management LLC Internal Medicine PastSince Jan 13, 2014 Accepting new patients
Emory Specialty Associates, LLC Internal Medicine Past Accepting new patients
Greenville Health System Past Accepting new patients
Bstsa Inc Dba Spectrum Therapy Center Past Accepting new patients
Greenville Proaxis Therapy, LLC Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

Interoperability endpoints

  • Direct secure messaging: jmikell2896089@direct.trinity-health.org
  • Direct secure messaging: fmcjmikee@yourcarecommunity.org

Organizations & group practices 13

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.

View all 13

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1316976285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303294021",
            "country_code": "US",
            "telephone_number": "404-728-6816",
            "fax_number": "404-728-6953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19251",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "057728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.