Organization Active NPI

Elizabeth Mitchell Eyecare PA

  • Ophthalmology Physician
  • Madison, MS
National Provider Identifier
1831383892
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13902 Issued in MS
Legal business name
ELIZABETH MITCHELL EYECARE PA
Practice address
501 Baptist Dr Ste 220
Madison, MS 39110-2031
Phone
(601) 985-9120
Fax
(601) 985-9122
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Elizabeth Wyatt Mitchell, MDNPI 1962430074
Title
Owner
Phone
(601) 985-9120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 13902 MS Primary

Addresses

Primary practice location

501 Baptist Dr Ste 220
Madison, MS 39110-2031

Mailing address

501 Baptist Dr Ste 220
Madison, MS 39110-2031
Phone (601) 985-9120

Other identifiers 1

IdentifierTypeStateIssuer
C02925OtherMSMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000128 MS Part B Supplier - Clinic/Group Practice 1254235120 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, MS

National Provider Directory

National Provider Directory

Locations

501 Baptist Dr
Ste 200
Madison, MS 39110
Phone (601) 985-9120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1831383892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MITCHELL EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-985-9120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "13902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02925",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.