NPIMap

Individual provider Active NPI

Paul Raymond Mitchell, DO

  • Anesthesiology Physician
  • Hilton Head Island, SC
National Provider Identifier
1699728477
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00666 Issued in SC
Practice address
15 Moss Creek VLG
Hilton Head Island, SC 29926-1105
Phone
(843) 415-8511
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 14

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 14

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
AnesthesiologyAlso: Pain Management
Education
Ohio University, College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PC 849 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8000

15 Moss Creek VLG
Hilton Head Island, SC 29926-1105
Phone (843) 415-8511

Hospital & facility affiliations

  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000770 SC Practitioner - AnesthesiologyPractitioner - Osteopathic Manipulative MedicinePractitioner - Pain Management 8426943812 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00666SCMDAnesthesiology Physician
666SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 14, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 14, 2025 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Sep 13, 2017 Accepting new patients
Hilton Head Anesthesia, PA Anesthesiology Past Accepting new patients
Anesthesia Network Services, LLC Anesthesiology Past Accepting new patients
Palmetto Anesthesia and Pain, LLC Anesthesiology Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 00666 SC
Anesthesiology Physician 207L00000X 00666 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

15 Moss Creek VLG
Hilton Head Island, SC 29926-1105

Mailing address

15 Moss Creek VLG
Hilton Head Island, SC 29926-1105
Phone (843) 415-8511

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
006665MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2023.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1699728477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-415-8511",
            "fax_number": "800-820-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-415-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PAUL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "00666",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "00666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.