Individual provider Active NPI

Gregory Charles Mitchell, M.D.

  • Family Medicine Physician
  • Savannah, TN
National Provider Identifier
1326098237
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30768 Issued in TN
Practice address
175 Enoch Blvd
Savannah, TN 38372-2240
Phone
(731) 925-2300
NPI assigned
May 11, 2006
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 30768 TN Primary

Addresses

Primary practice location

175 Enoch Blvd
Savannah, TN 38372-2240

Mailing address

P.O. Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300

Other identifiers 2

IdentifierTypeStateIssuer
3830668MedicaidTN
4216387OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060629000315 TN Practitioner - Emergency Medicine 7618940339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

175 Enoch Blvd
Savannah, TN 38372-2240
Phone (731) 925-2300

765 Florence Rd
Suite a
Savannah, TN 38372-5219
Phone (731) 925-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30768TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin County Regional Health Center CurrentSince Apr 1, 2009 Accepting new patients
Hardin County Regional Health Center CurrentSince Apr 1, 2009 Accepting new patients
University of Tennessee Past Accepting new patients
Baptist Memorial Hospital-Tipton Past Accepting new patients
Hardin County General Hospital Past Accepting new patients

Locations

726 E Main St
Adamsville, TN 38310
Phone (731) 632-1730

105 Davis St
Savannah, TN 38372
Phone (731) 925-8879

175 Enoch Blvd
Savannah, TN 38372
Phone (319) 252-3007

765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300

765 Florence Rd
Ste A
Savannah, TN 38372

Interoperability endpoints

  • Direct secure messaging: greg.mitchell.p1@direct.lifespanhealth.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1326098237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ENOCH BLVD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722240",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GREGORY",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "30768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3830668",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4216387",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.