Individual provider Active NPI

Vincent Lee Mitchell, D.C.

  • Chiropractor
  • Biloxi, MS
National Provider Identifier
1467402966
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
954 Issued in MS
Practice address
2318 Pass Rd
Suite 7
Biloxi, MS 39531-4044
Phone
(228) 385-0088
Fax
(228) 385-0099
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 954 MS Primary

Addresses

Primary practice location

2318 Pass Rd
Suite 7
Biloxi, MS 39531-4044

Mailing address

PO Box 4944
Biloxi, MS 39535-4944
Phone (228) 385-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000761 MS Practitioner - Chiropractic 8123072808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2699 Pass Rd
Biloxi, MS 39531-2633
Phone (228) 385-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
954MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back & Neck Care Center LLC Chiropractor CurrentSince Nov 1, 2006 Accepting new patients
Family Spinal Health and Rehabilitation Center, Inc. Chiropractor PastSince Jun 30, 2009 Accepting new patients

Locations

2318 Pass Rd
Ste 7
Biloxi, MS 39531
Phone (228) 385-0088

2699 Pass Rd
Biloxi, MS 39531
Phone (228) 385-0088

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1467402966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4944",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354944",
            "telephone_number": "228-385-0088",
            "fax_number": "228-385-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 PASS RD",
            "address_2": "SUITE 7",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314044",
            "telephone_number": "228-385-0088",
            "fax_number": "228-385-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "VINCENT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.