Individual provider Active NPI

Brian Wesley Mitchell, M.D.

  • Neurology Physician
  • Athens, GA
National Provider Identifier
1548212475
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
054005 Issued in GA
Practice address
1086A Baxter St
Athens, GA 30606-6316
Phone
(706) 353-0606
Fax
(706) 353-0798
NPI assigned
May 17, 2006
Last updated
Jun 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 054005 GA Primary

Addresses

Primary practice location

1086A Baxter St
Athens, GA 30606-6316

Mailing address

1086A Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060629000327 GA Practitioner - Neurology 2466464847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Neurological Associates, P.CGroup PAC ID 8426039645, 6 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1086 /2 Baxter St
Athens, GA 30606-6316

1088 Baxter St
Athens, GA 30606-6316
Phone (706) 353-0606

723 Baxter St
Athens, GA 30605-1109
Phone (706) 355-3035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054005GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Neurological Associates, P.C Neurology CurrentSince Jul 10, 2006 Accepting new patients
St. Mary's Hospital, Inc. Past Accepting new patients

Locations

1086 Baxter St
Athens, GA 30606
Phone (706) 353-0606

1086 Baxter St
#A
Athens, GA 30606
Phone (706) 353-0606

1088 Baxter St
Athens, GA 30606
Phone (706) 353-0606

Interoperability endpoints

  • Direct secure messaging: bmitchell@athensneuro.gwaydirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1548212475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086A BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066316",
            "telephone_number": "706-353-0606",
            "fax_number": "706-353-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086A BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066316",
            "telephone_number": "706-353-0606",
            "fax_number": "706-353-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRIAN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "054005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.