Active NPI
Mitchell Scott Mink, D.C.
- Chiropractor
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO 08116
- Practice address
- 409 Northside Dr
Valdosta, GA 31602-1801 - Phone
- (229) 242-3042
- Fax
- (229) 242-7035
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO 08116 | GA | Primary |
Addresses
Primary practice location
409 Northside Dr
Valdosta, GA 31602-1801
Mailing address
409 Northside Dr
Valdosta, GA 31602-1801
Phone (229) 242-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2231 Bemiss Rd B
Valdosta, GA 31602-4812
Phone (229) 241-9300
306 Shirley Ave
Douglas, GA 31533-2332
Phone (229) 241-8925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO 08116 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Medical Center LLC | Current | Accepting new patients | |
| South Georgia Spine and Joint Center, LLC | Chiropractor | Current | Accepting new patients |
| Care Medical Center LLC | Chiropractor | Current | Accepting new patients |
| Azalea City Chiropractic | Chiropractor | Current | Accepting new patients |
| South Georgia Spine and Joint Center, LLC | Chiropractor | Current | Accepting new patients |
| Mink Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
Locations
306 Shirley Ave
Douglas, GA 31533
Phone (229) 241-8925
202 S Madison St
Thomasville, GA 31792
Phone (229) 226-1035
2231 Bemiss Rd
Ste B
Valdosta, GA 31602
Phone (229) 219-8565
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Valdosta, GA
- NPI 1649573130
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
dba South Georgia Spine and Joint Center
- Family Medicine Physician
- Thomasville, GA
- NPI 1770815250
Chiropractor
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
dba South Georgia Spine and Joint Center
- Pain Medicine Physician
- Bainbridge, GA
- NPI 1114301611
Chiropractor
-
- Chiropractor
- Valdosta, GA
- NPI 1699825752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386703270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021801",
"telephone_number": "229-242-3042",
"fax_number": "229-242-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021801",
"telephone_number": "229-242-3042",
"fax_number": "229-242-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINK",
"first_name": "MITCHELL",
"middle_name": "SCOTT",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO 08116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.