Individual provider Active NPI

William Nathan Mitchell, MD

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1720037401
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0021789 Issued in AL
Practice address
3501 Memorial Pkwy SW
Huntsville, AL 35801-5319
Phone
(256) 533-0315
Fax
(256) 536-0360
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0021789 AL Primary

Addresses

Primary practice location

3501 Memorial Pkwy SW
Huntsville, AL 35801-5319

Mailing address

3501 Memorial Pkwy SW
Huntsville, AL 35801-5319
Phone (256) 533-0315

Other identifiers 1

IdentifierTypeStateIssuer
529904260-8937MedicaidAL

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
I20130605000308 AL Practitioner - Ophthalmology 6901999788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maynor and Mitchell Eye Center PCGroup PAC ID 1759300304, 10 clinicians

Practice addresses (Care Compare)

3501 Memorial Pkwy SW
Suite 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0021789ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Eye Surgery Center Ophthalmology Current Accepting new patients
Florence Eye Surgery Center Current Accepting new patients
Maynor & Mitchell Eye Center PC Ophthalmology CurrentSince May 3, 1999 Accepting new patients
Eye Surgery Center of North Alabama Past Accepting new patients
Athens Eye Care Center, P.C. Past Accepting new patients

Locations

309 W Market St
Athens, AL 35611
Phone (256) 232-2409

2415 Helton Dr
Ste A
Florence, AL 35630
Phone (256) 533-0315

120 Governors Dr SE
Ste 100
Huntsville, AL 35801
Phone (256) 533-0315

3501 Memorial Pkwy SW
Ste 200
Huntsville, AL 35801
Phone (256) 533-0315

Interoperability endpoints

  • Direct secure messaging: wmitchell@mmec.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1720037401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015319",
            "telephone_number": "256-533-0315",
            "fax_number": "256-536-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015319",
            "telephone_number": "256-533-0315",
            "fax_number": "256-536-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "0021789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529904260-8937",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.