Charles W. Mitchell, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

035297 Issued in GA

Practice address

2500 Starling St
Suite 603
Brunswick, GA 31520-4265

Phone

(912) 280-9977

Fax

(912) 280-9995

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Plastic and Reconstructive Surgery

Education

New York Medical College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Renue Plastic Surgery, LLCGroup PAC ID 7416860796, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.mitchell@renue.gadirect.net

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.

• Renue Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • Brunswick, GA
  • NPI 1881609543
  Medicare reassignment Care Compare group NPD Authorized official
• Regal Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Brunswick, GA
  • NPI 1831337781
  NPD Authorized official
• Renue Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brunswick, GA
  • NPI 1376797332
  NPD Authorized official
• Renue Surgery Center of Waycross, LLC

  • Ambulatory Surgical Clinic/Center
  • Waycross, GA
  • NPI 1821397654
  NPD Authorized official
• Zollman Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Indianapolis, IN
  • NPI 1699003400
  NPD (past)

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

• Southeast Georgia Health Services, L.L.C.

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1912913609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 603",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-280-9977",
            "fax_number": "912-280-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST",
            "address_2": "SUITE 603",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204265",
            "telephone_number": "912-280-9977",
            "fax_number": "912-280-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "GA",
            "license": "035297",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "GA",
            "license": "035297",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "035297",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "035297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000908146A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmitchell@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Starling St",
            "address_2": "Suite 603",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315204265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy W Miller, AA-C
• Melissa Anne Minix, R.PH.
• John Shreve Minkowski, MD
• Jose Mira Hernandez, M.D.
• Miracle Home Care Inc.
• Ernest Edward Mitchell III, PHARMD
• Heather Cone Mitchell, CRNA
• Patsy Mitchell, D.O.
• Tina F Mitchell, M.D.
• Sarah Renee Mobbs, ARNP

• Plastic Surgery Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.