Active NPI
George P Mitchell, PA
- Physician Assistant
- Punta Gorda, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104597
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Jupiter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- West Palm Beach, FL
- NPI 1306329370
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
-
- Internal Medicine Physician
- Lehigh Acres, FL
- NPI 1336722446
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1346670130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.