Terence Burrell Mitchell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME131235 Issued in FL

Practice address

2600 Partin Dr N Ste 330
Niceville, FL 32578-1542

Phone

(850) 279-4466

Fax

(850) 279-6947

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15878/brand/1/csg/1/fhir/r4

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.

• Terence B Mitchell MD Inc

  • Family Medicine Physician
  • Niceville, FL
  • NPI 1316472368

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861456592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 330",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781542",
            "telephone_number": "850-279-4466",
            "fax_number": "850-279-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 PARTIN DR N STE 330",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781542",
            "telephone_number": "850-279-4466",
            "fax_number": "850-279-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TERENCE",
        "middle_name": "BURRELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01055241A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Mills, RBT
• Patrick Mills, BCABA
• Alexious Milord, MSW
• Mindful Blujay Therapeutics LLC
• Kenneth Paul Mitchell, MD
• Cailie Mlynarski
• Jessica Michelle Moore, MS, NCC, LMHC
• Jeremy Harrison Morris, FNP-C, APRN
• Sandra Morris, LMT
• Sampson Wade Morrison

• Family Medicine Physician in Niceville, FL
• Providers in Niceville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.