Individual provider Active NPI

Mitchell Scott Mink, D.C.

  • Chiropractor
  • Valdosta, GA
National Provider Identifier
1386703270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO 08116 Issued in GA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20070315000022 GA Practitioner - Chiropractic 2961505706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Care Medical Center LLCGroup PAC ID 6406807015, 28 clinicians

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

LicenseStateTypeSpecialty
CHIRO 08116GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Center LLC CurrentSince Jun 3, 2025 Accepting new patients
South Georgia Spine and Joint Center, LLC Chiropractor CurrentSince Dec 1, 2022 Accepting new patients
Care Medical Center LLC Chiropractor CurrentSince Jun 3, 2025 Accepting new patients
Azalea City Chiropractic Chiropractor CurrentSince Aug 13, 2010 Accepting new patients
South Georgia Spine and Joint Center, LLC Chiropractor CurrentSince Dec 1, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.