Individual provider Active NPI

George P Mitchell, PA

  • Physician Assistant
  • Punta Gorda, FL
National Provider Identifier
1386938884
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104597 Issued in FL
Practice address
25098 Olympia Ave
Punta Gorda, FL 33950-3938
Phone
(941) 621-6771
Fax
(941) 621-6674
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104597 FL Primary

Addresses

Primary practice location

25098 Olympia Ave
Punta Gorda, FL 33950-3938

Mailing address

PO Box 11126
Belfast, ME 04915-4002
Phone (877) 856-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110627000671 FL Practitioner - Physician Assistant 7517145345 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Consultants LLCGroup PAC ID 3274875950, 16 clinicians

Practice addresses (Care Compare)

3345 Burns Rd
Suite 202
Palm Beach Gardens, FL 33410-4305
Phone (561) 366-6777

5305 Greenwood Ave
Suite 204
West Palm Beach, FL 33407-2449
Phone 5618826060227

Hospital & facility affiliations

  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 14, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Dec 14, 2020 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Gulf Coast Pulmonary Medicine Past Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

Interoperability endpoints

  • Direct secure messaging: george.mitchell.1@18542.direct.athenahealth.com

Organizations & group practices 8

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 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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1386938884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11126",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154002",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25098 OLYMPIA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503938",
            "telephone_number": "941-621-6771",
            "fax_number": "941-621-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GEORGE",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.