Active NPI
Elizabeth Mitchell Eyecare PA
- Ophthalmology Physician
- Madison, MS
National Provider Identifier
1831383892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Wyatt Mitchell, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02925 | Other | MS | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Madison, MS
- NPI 1962430074
-
- Optometrist
- Ridgeland, MS
- NPI 1083843163
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.