Willie M. Mitchell

Primary specialty

DriverTaxonomy code 172A00000X

License

37204441 Issued in NC

Practice address

1106 Friendly Rd
Dunn, NC 28334-2904

Phone

(910) 514-6653

NPI assigned

Dec 20, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1497393490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283351446",
            "telephone_number": "910-292-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 FRIENDLY RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283342904",
            "telephone_number": "910-514-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NC",
            "license": "37204441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Midgley, DO
• Moira K. Mills
• Hannah Denning Miriello, PHARMD
• Anita Mistrough-Orosz
• Serena Alexandria Mitchell, DO
• Wade Mixon, LCAS-A
• Moore Health Care T/a Senior Citizens Village
• Savannah Rae Moran, DO
• James Hugh Morgan, R.P.H.
• Jason M Moss, PHARMD, CPP

• Driver in Dunn, NC
• Providers in Dunn, NC by specialty
• Driver in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.