Organization Active NPI

Mitchell Family Medicine, LLC

  • Family Medicine Physician
  • Marion, AR
National Provider Identifier
1528537461
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MITCHELL FAMILY MEDICINE, LLC
Practice address
924 State Highway 77
Marion, AR 72364-9004
Phone
(870) 739-8670
Fax
(870) 739-8706
NPI assigned
Nov 21, 2018
Last updated
Nov 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Dr. Aaron Mitchell, MDNPI 1275852188
Title
Ceo
Phone
(870) 739-8670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

924 State Highway 77
Marion, AR 72364-9004

Mailing address

627 Big Lake Rd
Marion, AR 72364-2655
Phone (870) 738-8670

Other identifiers 1

IdentifierTypeStateIssuer
198344001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190508001393 AR Part B Supplier - Clinic/Group Practice 1850633074 Receives reassigned benefits from 14 practitioners
Practice locations: Marion, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2165967Mitchell Family Medicine, LLC924 State Hwy 77, Marion, AR 72364ComplianceNov 12, 2026

National Provider Directory

National Provider Directory

Locations

924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1528537461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BIG LAKE RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642655",
            "telephone_number": "870-738-8670",
            "fax_number": "870-739-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649004",
            "telephone_number": "870-739-8670",
            "fax_number": "870-739-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-739-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198344001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.