Gennetta Greer Mitchell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007213 Issued in NY

Practice address

5 Lake Carolina Way
Columbia, SC 29229-7561

Phone

(803) 479-8400

Fax

(803) 477-3174

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1356429344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAKE CAROLINA WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-479-8400",
            "fax_number": "803-477-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LAKE CAROLINA WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297561",
            "telephone_number": "803-479-8400",
            "fax_number": "803-477-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GENNETTA",
        "middle_name": "GREER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE",
            "identifier": "X03631",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02009832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Issac Mitchell, M.D.
• Crystal Chanel Mitchell
• Debra L Mitchell, MD
• Eltiana Leondra Mitchell
• Erica Chutz Mitchell
• Heather Danielle Mitchell, APRN
• Jamisha Mitchell
• Janelle Mitchell, MM, MT-BC
• Jerrel Gregory Mitchell
• Laureen Mitchell

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.