Active NPI
Gregory Erwin Mitchell, MD
- Family Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27288
- Practice address
- 294 Summar Dr
Jackson, TN 38301-3915 - Phone
- (731) 423-1932
- Fax
- (731) 423-4919
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27288 | TN | Primary |
Addresses
Primary practice location
294 Summar Dr
Jackson, TN 38301-3915
Mailing address
294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 265-8220
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080148228 | Other | TN | RAILROAD MEDICARE |
| 12122 | Other | TN | TLC |
| 3847268 | Medicaid | TN | |
| 626001636 | Other | TN | UNITED HEALTHCARE |
| 3133669 | Other | TN | BLUE CROSS |
| 1370056 | Other | TN | CIGNA |
| 152330 | Other | TN | BETTER HEALTH |
| 626001636 | Other | TN | USA MANAGED CARE |
| 626001636 | Other | TN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321
294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 423-1932
Hospital & facility affiliations
- Volunteer Home Care
- Tennessee Quality Care - Home Health
- Medical Center Home Health LLC
- Jackson-Madison County General Hospital
- Haywood County Community Hospital
- West Tennessee Post Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Health | Current | Accepting new patients | |
| Physicians Quality Care PLLC | Current | Accepting new patients | |
| WT University Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Martin Health | Family Medicine | Current | Accepting new patients |
| Island Park Beach Holdings LLC | Past | Accepting new patients | |
| Northbrooke Healthcare and Rehab Center LLC | Past | Accepting new patients | |
| Methodist Healthcare-Memphis Hospitals | Past | Accepting new patients | |
| West Tennessee Transitional Care LLC | Past | Accepting new patients | |
| Forest Cove Nursing and Rehab Center, LLC | Past | Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients |
Locations
294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932
700 W Forest Ave
Fl 5
Jackson, TN 38301
Phone (731) 423-1932
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
2075 Pleasant Plains Ext Rd
#R
Jackson, TN 38305
Phone (731) 984-8400
700 W Forest Ave
#5
Jackson, TN 38301
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321
1135 Broadway St
South Fulton, TN 38257
Phone (731) 479-2606
Interoperability endpoints
- gmitchell26351@mlh.direct-ci.com
- hmcgmitche@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Rural Health Clinic/Center
- South Fulton, TN
- NPI 1669876520
-
- Family Medicine Physician
- Jackson, TN
- NPI 1023572344
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1528240256
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1891750469
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1578399168
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1053067512
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1811953656
-
- Skilled Nursing Facility
- Jackson, TN
- NPI 1679712665
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brownsville, TN
- NPI 1720672934
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- Home Health Agency
- Jackson, TN
- NPI 1932355997
-
- Home Health Agency
- Parsons, TN
- NPI 1396702536
-
- Home Health Agency
- Humboldt, TN
- NPI 1659320190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1871596973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-265-8220",
"fax_number": "731-265-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-423-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "GREGORY",
"middle_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "27288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080148228",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "12122",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3847268",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "626001636",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3133669",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1370056",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BETTER HEALTH",
"identifier": "152330",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "626001636",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "626001636",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.