Roger Mitchel, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100426 Issued in NC

Practice address

2170 Midland Rd
Southern Pines, NC 28387-2927

Phone

(910) 295-2100

Fax

(910) 295-3625

NPI assigned

Nov 1, 2006

Last updated

Jan 22, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Firsthealth of the Carolinas, Inc.

  dba FirstHealth Montgomery Memorial Hospital Primary Care and Cardiology-Troy

  • Rural Health Clinic/Center
  • Troy, NC
  • NPI 1548276389
  Medicare reassignment
• MCPC-11, LLC

  dba FirstHealth Behavioral Services

  • Adult Mental Health Clinic/Center
  • Pinehurst, NC
  • NPI 1841635455
  Medicare reassignment
• Carolina Behavioral Care, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1932821303
  NPD
• Carolina Eye Associates Inc

  dba Carolina Eye Associates PA

  • Ophthalmology Physician
  • Southern Pines, NC
  • NPI 1245211333
  NPD
• Carolina Eye Associates Inc

  dba Carolina Eye Associates PA

  • Optometrist
  • Wadesboro, NC
  • NPI 1285177014
  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  dba FirstHealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth-Unc Maternal-Fetal Medicine

  dba FirstHealth-UNC Maternal-Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Pinehurst, NC
  • NPI 1881011120
  NPD
• Ats of North Carolina, LLC

  dba Carolina Treatment Center of Pinehurst

  • Methadone Clinic
  • Pinehurst, NC
  • NPI 1649310152
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1730266156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1630",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283701630",
            "telephone_number": "910-295-6007",
            "fax_number": "910-215-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "ROGER",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roger.mitchel@direct.carolinaeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2170 Midland Rd",
            "city": "Southern Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283872927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tarra Wright Millender, M.D.
• Asia Miller
• Domonique Yvette Miller
• John Daniel Miller, OD
• Gregory Julian Mincey, MD
• Kirby Mitchell, RD
• Sara Yousuf Moghul, DMD
• Monarch
• Monarch
• Monarch

• Physician Assistant in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.

Verify at the official NPI Registry.