Jerry W Mitchell, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

00027312 Issued in AL

Practice address

600 S 3Rd St
Gadsden, AL 35901-5304

Phone

(256) 543-5200

NPI assigned

May 19, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Radiology Group

  • Diagnostic Radiology Physician
  • Gadsden, AL
  • NPI 1316066913
  NPD (past) Authorized official
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348
  NPD (past)
• Cleveland Radiology Associates, PC

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1174552202
  NPD (past)
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861445652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8633",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359028633",
            "telephone_number": "877-272-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015304",
            "telephone_number": "256-543-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JERRY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00027312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "510-03610",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00338258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Mills, P.T.
• Ali Mitchell, PHARMD
• Austin Taylor Mitchell
• Corie Mitchell, CRNP
• George Lewis Mitchell Jr., DMD
• Megan Ann Mohon
• Momans Inc
• Moore Dental PLLC
• Megan Moore, CRNP
• Connie Payongayong Morales

• Diagnostic Radiology Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.