Individual provider Active NPI

Swaroop Mitta, MD

  • Emergency Medicine Physician
  • Thomasville, AL
National Provider Identifier
1356432264
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00022410 Issued in AL
Practice address
33700 Hwy 43
Suite B
Thomasville, AL 36784-3555
Phone
(334) 636-4431
Fax
(334) 636-6129
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00022410 AL Primary

Addresses

Primary practice location

33700 Hwy 43
Suite B
Thomasville, AL 36784-3555

Mailing address

403 Pebble Creek LN
Enterprise, AL 36330-8307
Phone (985) 626-6133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050207000859 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 1355392317 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Jackson Healthcare Authority 16 clinicians
J Paul Jones Hospital 4 clinicians
Community Hospital Inc 15 clinicians

Practice addresses (Care Compare)

220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-1159

317 McWilliams Ave
Camden, AL 36726-1610
Phone (334) 682-4131

805 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-6541

Hospital & facility affiliations

  • Jackson Medical Center Hospital, Jackson, AL, CCN 010128
  • Community Hospital Inc Hospital, Tallassee, AL, CCN 010034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00022410ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients
Community Hospital Inc Current Accepting new patients
City of Jackson Healthcare Authority CurrentSince Mar 1, 2013 Accepting new patients
Community Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients
J. Paul Jones Hospital CurrentSince Mar 24, 2018 Accepting new patients
City of Jackson Healthcare Authority CurrentSince Feb 26, 2025 Accepting new patients
Demopolis Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

317 McWilliams Ave
Camden, AL 36726
Phone (334) 682-3911

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 15

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 15

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1356432264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PEBBLE CREEK LN",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363308307",
            "telephone_number": "985-626-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33700 HWY 43",
            "address_2": "SUITE B",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843555",
            "telephone_number": "334-636-4431",
            "fax_number": "334-636-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTA",
        "first_name": "SWAROOP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00022410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, AL

Sources for this page

Verify at the official NPI Registry.