Active NPI
Carol Mitchell, MD
- Internal Medicine Physician
- Lexington, KY
National Provider Identifier
1710986310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25327
- Practice address
- 1640 Bryan Station Rd Ste 1
Lexington, KY 40505-2144 - Phone
- (859) 288-2425
- Fax
- (859) 721-3918
- NPI assigned
- Jul 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25327 | KY | Primary |
Addresses
Primary practice location
1640 Bryan Station Rd Ste 1
Lexington, KY 40505-2144
Mailing address
496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64253271 | Medicaid | KY |
Other names 1
- Dr. Carol M George
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Kentucky, PLLC | Internal Medicine | Current | Accepting new patients |
| Bluegrass Medical Associates PSC | Past | Accepting new patients | |
| Oak Street Health Physicians Group of South Carolina, LLC | Internal Medicine | Past | Accepting new patients |
Locations
496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392
208 Legends Ln
Ste 160
Lexington, KY 40505
Phone (859) 201-9870
5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Louisville, KY
- NPI 1467031997
Internal Medicine
-
- Family Medicine Physician
- Lexington, KY
- NPI 1316946429
-
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1023614914
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1710986310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 SOUTHLAND DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031827",
"telephone_number": "859-288-2425",
"fax_number": "859-288-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 BRYAN STATION RD STE 1",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405052144",
"telephone_number": "859-288-2425",
"fax_number": "859-721-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "25327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64253271",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "GEORGE",
"middle_name": "M",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.