Organization Active NPI

Mitchell Hardison, M.D., PLLC

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1912152679
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26442 Issued in NC
Legal business name
MITCHELL HARDISON, M.D., PLLC
Practice address
2301 Rexwoods Dr
Suite 118, Rexwoods III
Raleigh, NC 27607-3366
Phone
(919) 803-1417
Fax
(919) 803-1418
NPI assigned
Nov 22, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Marianne E Hardison
Title
Office Administrator
Phone
(919) 418-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 26442 NC Primary

Addresses

Primary practice location

2301 Rexwoods Dr
Suite 118, Rexwoods III
Raleigh, NC 27607-3366

Mailing address

2301 Rexwoods Dr
Suite 118, Rexwoods III
Raleigh, NC 27607-3366
Phone (919) 803-1417

National Provider Directory

National Provider Directory

Locations

123 Capcom Ave
Ste 4
Wake Forest, NC 27587

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912152679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 118, REXWOODS III",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-803-1417",
            "fax_number": "919-803-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 118, REXWOODS III",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-803-1417",
            "fax_number": "919-803-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL HARDISON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-418-9002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "26442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.