NPIMap

Individual provider Active NPI

Jared Mitchell, M.D.

  • Family Medicine Physician
  • Edna, TX
National Provider Identifier
1760914162
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T9750 Issued in TX
Practice address
1013 S Wells St
Edna, TX 77957-4045
Phone
(361) 782-7800
Fax
(361) 782-5627
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T9750 TX Primary

Addresses

Primary practice location

1013 S Wells St
Edna, TX 77957-4045

Mailing address

1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220920002374 TX Practitioner - Family Practice 5395120802 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians
Ess of Port Lavaca LLCGroup PAC ID 2769766005, 17 clinicians

Practice addresses (Care Compare)

2500 E Main St
Alice, TX 78332-4261
Phone (361) 661-8000

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Hospital District CurrentSince Sep 6, 2022 Accepting new patients
Gulf Coast Emergency Physicians, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Jackson County Hospital District CurrentSince Sep 6, 2022 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Mar 1, 2026 Accepting new patients
Jackson County Hospital District Current Accepting new patients
Hospital Care Consultants of Corpus Christi CurrentSince Feb 10, 2026 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1013 S Wells St
#A
Edna, TX 77957
Phone (361) 782-3560

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1013A S Wells St
Edna, TX 77957
Phone (361) 782-3560

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

Interoperability endpoints

  • Direct secure messaging: jared.mitchell.1@34124.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1760914162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7800",
            "fax_number": "361-782-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7800",
            "fax_number": "361-782-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edna, TX

Sources for this page

Verify at the official NPI Registry.