Skyla D Mitchell

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2242 Breckinridge Rd
Jackson, MS 39204-4539

Phone

(601) 850-3244

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1447733100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 BRECKINRIDGE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044539",
            "telephone_number": "601-850-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 BRECKINRIDGE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044539",
            "telephone_number": "601-850-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SKYLA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01670076",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larkin H Mitchell, M.D.
• Marc E Mitchell, MD
• Marcus Mitchell
• Nathaniel Mitchell, LCSW
• Sarah Quilter Mitchell, M.D.
• Stacey M Mitchell, PCMHT
• Summer Mitchell, FNP-BC
• Sydney Caroline Mitchell
• Victoria Mitchell, NNP-BC
• Mitzi Ferguson, MD, LLC

• Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.