Larry Mitchell, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

12895 Issued in AL

Practice address

1550 County Road 487
Centre, AL 35960

Phone

(615) 428-4422

NPI assigned

Oct 17, 2006

Last updated

Dec 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Emergency Medicine

Education

University of South Alabama College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Southern Alabama Physicians, LLPGroup PAC ID 0345499562, 10 clinicians

Alabama Emergency Physician Partners, LLCGroup PAC ID 4082868641, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group NPD
• Southern Alabama Physicians LLP

  • Emergency Medicine Physician
  • Dothan, AL
  • NPI 1467701490
  Medicare reassignment Care Compare group NPD
• Emergency Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1659366649
  Medicare reassignment NPD
• Fort Payne Clinic Corp.

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1396764395
  Medicare reassignment NPD
• Moore Emergency Group, LLC

  • Emergency Medicine Physician
  • Andalusia, AL
  • NPI 1013415769
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL

  Medicare reassignment NPD
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1194106443
  NPD
• Fort Payne Clinic Corp

  dba Dekalb Orthopedics & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Fort Payne, AL
  • NPI 1326521345
  NPD
• Southern Alabama Physicians,LLP

  • Emergency Medicine Physician
  • Enterprise, AL
  • NPI 1649696378
  NPD
• Mobile Emergency Group PC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1932166287
  NPD (past)
• Willstown Emergency Physicians

  • Emergency Medicine Physician
  • Fort Payne, AL
  • NPI 1003081753
  NPD (past)

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

• Prime Healthcare Services - Gadsden LLC

  dba Riverview Regional Medical Center

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1992103857
  Care Compare affiliation
• Prime Healthcare Services Gadsden LLC

  dba Riverview Imaging Center

  • Radiology Clinic/Center
  • Gadsden, AL
  • NPI 1801294764

  Hospital

  Care Compare affiliation
• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1710067160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COUNTY ROAD 487",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "35960",
            "telephone_number": "615-428-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COUNTY ROAD 487",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "35960",
            "telephone_number": "615-428-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "12895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936246",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008232",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936247",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936244",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Kilgo
• James Christian Lamousin, MD
• Valerie Sanchez Leonard, CRNP
• Mark A McClendon, DMD
• James Randall McKissick II, O.D.
• Jennings Kelsey Moody, PT, DPT
• Morgan Medical, LLC.
• MP Home Health Services (As Close As Family of Cherokee and Etowah County)
• Dwayne Avanish Narayan, MD
• Nelson Internal Medicine, LLC

• Emergency Medicine Physician in Centre, AL
• Providers in Centre, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.