Individual provider Active NPI

Terry Lynn Mitchell, M.D.

  • Emergency Medicine Physician
  • Sulphur Springs, TX
National Provider Identifier
1366436966
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G3617 Issued in TX
Practice address
500 Pipeline Rd
Sulphur Springs, TX 75482-2082
Phone
(903) 243-8888
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3617 TX
Public Health & General Preventive Medicine Physician 2083P0901X G3617 TX
Emergency Medicine Physician 207P00000X G3617 TX Primary

Addresses

Primary practice location

500 Pipeline Rd
Sulphur Springs, TX 75482-2082

Mailing address

500 Pipeline Rd
Sulphur Springs, TX 75482-2082
Phone (903) 243-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040525001268 TX Practitioner - Emergency Medicine 9335139138 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3617TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 12, 2013 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jan 12, 2013 Accepting new patients
South Central Physicians PLLC CurrentSince Nov 1, 2022 Accepting new patients
Texas ER Group PLLC Emergency Medicine CurrentSince Jan 25, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2007 Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jun 3, 2024 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Texas Emergency Room Services , PA Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

504 Lipscomb St
#H
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

137 N Lhs Dr
Ste 755
Lumberton, TX 77657
Phone (832) 219-3833

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

Interoperability endpoints

  • Direct secure messaging: terry.mitchell.1@13131.direct.athenahealth.com
  • Direct secure messaging: temitchell@direct.uspi.com

Organizations & group practices 12

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1366436966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PIPELINE RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822082",
            "telephone_number": "903-243-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PIPELINE RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822082",
            "telephone_number": "903-243-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3617",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "G3617",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G3617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.