Individual provider Active NPI

Percy David Mitchell Jr., MD

  • Psychiatry Physician
  • Middletown, OH
National Provider Identifier
1326106436
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35035446 Issued in OH
Practice address
1054 Summit Dr
Middletown, OH 45042
Phone
(513) 727-1987
Fax
(513) 727-0918
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35035446 OH Primary
Child & Adolescent Psychiatry Physician 2084P0804X 35035446 OH

Addresses

Primary practice location

1054 Summit Dr
Middletown, OH 45042

Mailing address

1054 Summit Dr
Middletown, OH 45042
Phone (513) 727-1987

Other identifiers 1

IdentifierTypeStateIssuer
0294444MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070606000028 OH Practitioner - Psychiatry 4587697271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Percy D Mitchell Jr M D and Associates LLCGroup PAC ID 9133226145, 4 clinicians

Practice addresses (Care Compare)

1045 Summit Dr
Middletown, OH 45042-3464
Phone (513) 727-1987

1045 Summitt SQ
Middletown, OH 45042-3464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35035446OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Percy D Mitchell Jr M D & Associates LLC CurrentSince May 1, 2005 Accepting new patients

Locations

1045 Summit Dr
Middletown, OH 45042
Phone (513) 727-1987

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326106436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 SUMMIT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45042",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 SUMMIT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45042",
            "telephone_number": "513-727-1987",
            "fax_number": "513-727-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PERCY",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35035446",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35035446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294444",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.