Mitchell Craig Preston, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E11814 Issued in AR

Practice address

2158 Butterfield Coach Rd Ste 100
Springdale, AR 72764-9142

Phone

(479) 757-5026

Fax

(479) 757-5028

NPI assigned

Jul 11, 2005

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.5 of 100Reported as apm

Quality

69.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpreston1017755@directc.mercy.net

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.

• Mitchell C. Preston MD PLLC

  • Family Medicine Physician
  • Cottonwood, AZ
  • NPI 1891993416
  NPD (past) Authorized official
• Willard Emergency Physicians

  • Emergency Medicine Physician
  • Cottonwood, AZ
  • NPI 1598714743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1417955766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 BUTTERFIELD COACH RD STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727649142",
            "telephone_number": "479-757-5026",
            "fax_number": "479-757-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 BUTTERFIELD COACH RD STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727649142",
            "telephone_number": "479-757-5026",
            "fax_number": "479-757-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MITCHELL",
        "middle_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E11814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821753",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "mitchell.preston.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR DIRECT ADDRESS",
            "address_1": "2158 Butterfield Coach Rd Ste 100",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727649142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea L Predl, LCSW
• Preferred Family Healthcare Inc (Dayspring Behavioral Health Services)
• Premier Pharmacy Care, LLC
• Johnny Lee Presley Jr.
• Jessica Beth Preston, APRN-PMHNP
• Ray Gordon Price, PD
• James Lee Pridmore, LCSW
• Jennifer Pridmore, ATC, LAT
• Prince Ventures LLC (Advanced Therapeutic Assist)
• Robin Prince, PHARMD

• Family Medicine Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.