Individual provider Active NPI

Gregory Erwin Mitchell, MD

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1871596973
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27288 Issued in TN
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

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080148228OtherTNRAILROAD MEDICARE
12122OtherTNTLC
3847268MedicaidTN
626001636OtherTNUNITED HEALTHCARE
3133669OtherTNBLUE CROSS
1370056OtherTNCIGNA
152330OtherTNBETTER HEALTH
626001636OtherTNUSA MANAGED CARE
626001636OtherTNHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000339 TN Practitioner - Family Practice 4981738960 Reassigns benefits to 2 organizations

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
Martin HealthGroup PAC ID 5193070613, 9 clinicians
WT University Medical Associates IncGroup PAC ID 3779824719, 14 clinicians

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 Home health agency, Humboldt, TN, CCN 447557
  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Medical Center Home Health LLC Home health agency, Jackson, TN, CCN 447101
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Haywood County Community Hospital Hospital, Brownsville, TN, CCN 440238
  • West Tennessee Post Acute Nursing home, Jackson, TN, CCN 445187

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Health CurrentSince May 1, 2024 Accepting new patients
Physicians Quality Care PLLC CurrentSince Feb 13, 2022 Accepting new patients
WT University Medical Associates Inc Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Martin Health Family Medicine CurrentSince May 1, 2024 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

  • Direct secure messaging: gmitchell26351@mlh.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.