Individual provider Active NPI

Rachel Hicks Mitchell

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1487187233
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58587 Issued in TN
Practice address
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone
(901) 516-7509
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58587 TN Primary

Addresses

Primary practice location

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Mailing address

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190909002097 TN Practitioner - Emergency Medicine 2466781943 Reassigns benefits to 3 organizations
I20210809003795 IN Practitioner - Emergency Medicine 2466781943 Reassigns benefits to 1 organization
I20221206002572 FL Practitioner - Emergency Medicine 2466781943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians IncGroup PAC ID 7911811435, 105 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Dr
Suite 250
Fleming Island, FL 32003-8502
Phone (904) 516-1000

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Sep 1, 2021 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Apr 30, 2020 Accepting new patients

Locations

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Organizations & group practices 6

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 4

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1487187233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-226-3010",
            "fax_number": "901-226-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE STE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033438",
            "telephone_number": "901-516-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RACHEL",
        "middle_name": "HICKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "58587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.