Mitchell Internal Medicine Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00009988 Issued in AL

Legal business name

MITCHELL INTERNAL MEDICINE CLINIC

Practice address

2115 Cloyd Blvd
Suite 1
Florence, AL 35630-7512

Phone

(256) 718-6858

Fax

(256) 718-6058

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira Lyman Mitchell Jr., M.D.NPI 1881776078

Title

Owner

Phone

(256) 718-6858

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ira Lyman Mitchell Jr., M.D.

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1881776078
  Medicare reassignment Care Compare group NPD Authorized official
• Pamela J Hill, CRNP

  • Nurse Practitioner
  • Florence, AL
  • NPI 1720178502
  Medicare reassignment Care Compare group NPD
• Dina Riyad Jannun, M.D.

  • Neurology Physician
  • Florence, AL
  • NPI 1538253075
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891866760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-718-6858",
            "fax_number": "256-718-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-718-6858",
            "fax_number": "256-718-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL INTERNAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "LYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-718-6858",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00009988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51040653",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Wallace Mininger, CRNA
• Miranda Ainsworth D/B/a Stepping Stone Pediatric Therapy, LLC (Stepping Stone Pediatric Therapy, LLC)
• Aubrey S Miree IV, ATC LAT
• Anand Donald Mishra, M.D.
• Mission of Mercy, Inc. (Moms, Inc.)
• Mitchell-Hollingsworth Nursing & Rehab Center (Mitchell-Hollingsworth Nursing)
• Erin Sprinkle Mitchell, CRNP
• Ira Lyman Mitchell Jr., M.D.
• Michael T Mitchell, MD
• Taya Michelle Mitchell

• Internal Medicine Physician in Florence, AL
• Providers in Florence, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.