Active NPI
Mitchell B Austin, MD
- Otolaryngology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME98569
- Practice address
- 401 N Mills Ave Ste C
Orlando, FL 32803-5735 - Phone
- (407) 821-3655
- Fax
- (407) 845-8353
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 47569 | GA | |
| Otolaryngology Physician | 207Y00000X | ME98569 | FL | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 47569 | GA | |
| Pediatric Otolaryngology Physician | 207YP0228X | ME98569 | FL |
Addresses
Primary practice location
401 N Mills Ave Ste C
Orlando, FL 32803-5735
Mailing address
902 N 7TH St
Cordele, GA 31015-3270
Phone (229) 276-3100
Other practice location 1
20291 Passagio Dr
Venice, FL 34293-1982
Phone (407) 719-3444
Other practice location 2
902 N 7th St
Cordele, GA 31015-3270
Phone (229) 276-3100
Other practice location 3
910 N 5th St
Cordele, GA 31015-3254
Phone (229) 271-4623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022414200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, MN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Nevada School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N Orange Ave
Orlando, FL 32804-4641
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98569 | FL | MD | Pediatric Otolaryngology Physician |
| 47569 | GA | MD | Pediatric Otolaryngology Physician |
| 19139 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Otolaryngology | Current | Accepting new patients |
| Crisp Regional Hospital, Inc | Current | Accepting new patients | |
| Edward B Kampsen MD PA | Otolaryngology | Current | Accepting new patients |
| Crisp Regional Hospital Inc | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
401 N Mills Ave
Ste C
Orlando, FL 32803
Phone (407) 821-3655
615 E Princeton St
Ste 101
Orlando, FL 32803
Phone (407) 236-0006
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
910 N 5th St
Cordele, GA 31015
Phone (229) 271-4652
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822
1655 E Greenville St
Anderson, SC 29621
Phone (803) 224-6375
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
Interoperability endpoints
- maustin50951@direct.anmedhealth.net
Organizations & group practices 16
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Otolaryngology Physician
- Tampa, FL
- NPI 1699971804
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
dba Crisp Regional Hospital
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Surgery Physician
- Jacksonville, FL
- NPI 1588824858
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Internal Medicine Physician
- Anderson, SC
- NPI 1285154914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1639288749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 N 7TH ST",
"city": "CORDELE",
"state": "GA",
"postal_code": "310153270",
"telephone_number": "229-276-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MILLS AVE STE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035735",
"telephone_number": "407-821-3655",
"fax_number": "407-845-8353"
}
],
"practiceLocations": [
{
"address_1": "20291 Passagio Dr",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342931982",
"country_code": "US",
"telephone_number": "407-719-3444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 N 7th St",
"address_purpose": "LOCATION",
"city": "Cordele",
"state": "GA",
"postal_code": "310153270",
"country_code": "US",
"telephone_number": "229-276-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 N 5th St",
"address_purpose": "LOCATION",
"city": "Cordele",
"state": "GA",
"postal_code": "310153254",
"country_code": "US",
"telephone_number": "229-271-4623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "MITCHELL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "47569",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME98569",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "GA",
"license": "47569",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "FL",
"license": "ME98569",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022414200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.