Individual provider Active NPI

Brandon Mizell, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1649624693
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26789 Issued in MS
Practice address
114 Monument PL Ste a
Vicksburg, MS 39180-5169
Phone
(601) 738-5075
Fax
(601) 738-5197
NPI assigned
Apr 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26789 MS Primary

Addresses

Primary practice location

114 Monument PL Ste a
Vicksburg, MS 39180-5169

Mailing address

114 Monument PL Ste a
Vicksburg, MS 39180-5169
Phone (601) 738-5075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brandon.mizell.1@1475.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190911001720 MS Practitioner - Family PracticePractitioner - Emergency Medicine 9739468562 Reassigns benefits to 3 organizations
I20260505001032 VA Practitioner - Family Practice 9739468562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 Monument PL
Suite a
Vicksburg, MS 39180-5169
Phone (601) 738-5075

114 Monument Place
Suite a
Vicksburg, MS 39180-5169

1901 Mission
Suite 66
Vicksburg, MS 39180-3711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26789MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flowers Medical Group LLC Family Medicine Current Accepting new patients
South Sunflower County Hospital CurrentSince Nov 5, 2023 Accepting new patients
K McDaniel Inc Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Mission Primary Care Clinic PLLC Family Medicine Current Accepting new patients
Denesia Y Giffin PLLC Current Accepting new patients
Centerwell Senior Primary Care Ms CS PC Family Medicine CurrentSince Apr 29, 2025 Accepting new patients
Cal-Med LLC Family Medicine Current Accepting new patients
Christina Hossley Inc Current Accepting new patients
Robert M Cannon MD LLC Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
J Russell Barnes MD PC Family Medicine Current Accepting new patients
Susan a Chiarito MD PA Inc Family Medicine Current Accepting new patients
Joseph L Wilson MD Inc Current Accepting new patients
Vicksburg Clinic LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
BC Medical LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Rlgmdpa Inc Family Medicine Current Accepting new patients
Robert C Masterson DO PA Inc Family Medicine Current Accepting new patients
South Sunflower County Hospital CurrentSince Nov 5, 2023 Accepting new patients
South Sunflower County Hospital Current Accepting new patients

Locations

2650 Beach Blvd
Ste 40
Biloxi, MS 39531
Phone (228) 273-4611

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

114 Monument Pl
Ste A
Vicksburg, MS 39180
Phone (601) 738-5075

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCFAED/Endpoint/JCFAED
  • Direct secure messaging: brandon.mizell.1@29601.direct.athenahealth.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1649624693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MONUMENT PL STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805169",
            "telephone_number": "601-738-5075",
            "fax_number": "601-898-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MONUMENT PL STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805169",
            "telephone_number": "601-738-5075",
            "fax_number": "601-738-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandon.mizell.1@1475.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1907 Mission 66",
            "city": "Vicksburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391803711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.