Individual provider Active NPI

Mitchell B Austin, MD

  • Otolaryngology Physician
  • Orlando, FL
National Provider Identifier
1639288749
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME98569 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
022414200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, MN, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071017000231 FL Practitioner - Otolaryngology 5698861094 Reassigns benefits to 3 organizations
I20220623000061 SC Practitioner - Otolaryngology 5698861094 Reassigns benefits to 2 organizations
I20221213001499 MN Practitioner - Otolaryngology 5698861094
I20221228003201 GA Practitioner - Otolaryngology 5698861094 Reassigns benefits to 1 organization

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
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

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

LicenseStateTypeSpecialty
ME98569FLMDPediatric Otolaryngology Physician
47569GAMDPediatric Otolaryngology Physician
19139SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 14, 2023 Accepting new patients
Anmed Health CurrentSince Mar 11, 2022 Accepting new patients
Anmed Health CurrentSince Mar 11, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 14, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Aug 1, 2022 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Otolaryngology CurrentSince Mar 11, 2022 Accepting new patients
Crisp Regional Hospital, Inc CurrentSince Nov 5, 2022 Accepting new patients
Edward B Kampsen MD PA Otolaryngology CurrentSince Aug 1, 2020 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Nov 5, 2022 Accepting new patients
Anmed Health Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 1, 2022 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

  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.