Alvin Mitchell Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2017-54189-53078 Issued in SC

Practice address

10 Breezewood Court
Columbia, SC 29212

Phone

(803) 363-9674

Fax

(803) 509-8210

NPI assigned

Aug 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578080180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BREEZEWOOD CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122901",
            "telephone_number": "803-363-9674",
            "fax_number": "803-509-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BREEZEWOOD COURT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29212",
            "telephone_number": "803-363-9674",
            "fax_number": "803-509-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALVIN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "2017-54189-53078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMERGENCY MEDICAL TRANSPORTATION",
            "identifier": "814420717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Misencik
• Catherine M Mishoe, MA
• Manorama Mishra, M.D.
• Basem Mourad Labib Mishriky, M.D.
• Carol Evalda Mitchell-Hamilton, MSN CRNP
• Ashli Mitchell
• Carl Issac Mitchell, M.D.
• Crystal Chanel Mitchell
• Debra L Mitchell, MD
• Eltiana Leondra Mitchell

• Non-emergency Medical Transport (VAN) in Columbia, SC
• Providers in Columbia, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.