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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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. 5 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Removal of tissue1-10

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

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

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2022.

{
    "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.