Dale G Mitchum, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12381 Issued in AL

Practice address

100 W Lake Professional Park Ste 2
Geneva, AL 36340-1200

Phone

(334) 684-3007

Fax

(334) 684-3059

NPI assigned

Sep 26, 2006

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

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 2

Specialty

General Surgery

Education

University of Alabama School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309
• Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

Interoperability endpoints

• Direct secure messaging: dalemitchum@3f8addd4.micromddirect.com

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.

• Dr Dale Mitchum Inc

  • Specialist
  • Geneva, AL
  • NPI 1962596122

  FL

  Medicare reassignment Authorized official
• Dr. Dale Mitchum Inc.

  • Surgery Physician
  • Geneva, AL
  • NPI 1407299894
  NPD Authorized official

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

• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Holmes County Hospital Corp

  dba Doctors Memorial Hospital

  • Critical Access Hospital
  • Bonifay, FL
  • NPI 1366431702
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1801997218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363400900",
            "telephone_number": "334-684-3007",
            "fax_number": "334-684-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAKE PROFESSIONAL PARK STE 2",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401200",
            "telephone_number": "334-684-3007",
            "fax_number": "334-684-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHUM",
        "first_name": "DALE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "12381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren McGainey
• MD Saunders Enterprises LLC (The Spine Clinic)
• Med Express Pharmacy Inc (Med Express Pharmacy)
• Mid-South Home Health Agency, LLC (Centerwell Home Health)
• Mitchum Medical Clinic, Inc.
• Maiah Mackenzii Owens
• Heather Chancey Pellot, PHARMD
• Bobbi Houston Pippins, LICSW-S
• David Hyatt Pope, MD
• John Franklin Simmons, M.D

• Surgery Physician in Geneva, AL
• Providers in Geneva, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.