Individual provider Active NPI

Greyson Walker Mitchell, PA

  • Surgical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1386513059
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
6767 S Yale Ave Ste a
Tulsa, OK 74136-3399
Phone
(918) 492-7587
Fax
(918) 492-4033
NPI assigned
Nov 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

6767 S Yale Ave Ste a
Tulsa, OK 74136-3399

Mailing address

6767 S Yale Ave Ste a
Tulsa, OK 74136-3399
Phone (918) 492-7587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312004031 OK Practitioner - Physician Assistant 4789167115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Surgery IncGroup PAC ID 2860472818, 11 clinicians

Practice addresses (Care Compare)

6767 S Yale Ave
Suite a
Tulsa, OK 74136-3302
Phone (918) 492-7587

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Tulsa Spine & Specialty Hospital Hospital, Tulsa, OK, CCN 370216
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Surgery Inc CurrentSince Feb 11, 2026 Accepting new patients

Locations

6767 S Yale Ave
Ste A
Tulsa, OK 74136
Phone (918) 492-7587

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.

Hospital & facility affiliations 4

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": "1761955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1386513059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363399",
            "telephone_number": "918-492-7587",
            "fax_number": "918-492-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 S YALE AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363399",
            "telephone_number": "918-492-7587",
            "fax_number": "918-492-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GREYSON",
        "middle_name": "WALKER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-01",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.