Individual provider Active NPI

Andrew B Mitchell, M.D.

  • Colon & Rectal Surgery Physician
  • Huntsville, AL
National Provider Identifier
1669855466
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD.44465 Issued in AL
Practice address
115 Manning Dr SW Ste D101
Huntsville, AL 35801-4341
Phone
(256) 533-6070
Fax
(256) 533-4937
NPI assigned
Jun 30, 2015
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7485 GA
Colon & Rectal Surgery Physician 208C00000X MD.44465 AL Primary

Addresses

Primary practice location

115 Manning Dr SW Ste D101
Huntsville, AL 35801-4341

Mailing address

115 Manning Dr SW Ste D101
Huntsville, AL 35801-4341
Phone (256) 533-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220727001091 AL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2062894835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Colon and Rectal Surgery, P.a.Group PAC ID 4082654280, 5 clinicians

Practice addresses (Care Compare)

115 Manning Dr SW
Suite D101
Huntsville, AL 35801-4341
Phone (256) 533-6070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7485GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Colon & Rectal Surgery, P.a. Colon & Rectal Surgery CurrentSince Sep 1, 2022 Accepting new patients

Locations

115 Manning Dr SW
Ste D101
Huntsville, AL 35801
Phone (256) 533-6070

Interoperability endpoints

  • Direct secure messaging: amitchell@ccrs.gwaydirect.com

Organizations & group practices 1

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 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1669855466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MANNING DR SW STE D101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014341",
            "telephone_number": "256-533-6070",
            "fax_number": "256-533-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MANNING DR SW STE D101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014341",
            "telephone_number": "256-533-6070",
            "fax_number": "256-533-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "7485",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AL",
            "license": "MD.44465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.