Carl Issac Mitchell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8063 Issued in SC

Practice address

204 Greengate Dr
Columbia, SC 29223-5808

Phone

(839) 221-3438

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carl I. Mitchell, MD, PA

  • Primary Care Clinic/Center
  • Columbia, SC
  • NPI 1831370857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1932192044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GREENGATE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235808",
            "telephone_number": "839-221-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GREENGATE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235808",
            "telephone_number": "839-221-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CARL",
        "middle_name": "ISSAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "8063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manorama Mishra, M.D.
• Basem Mourad Labib Mishriky, M.D.
• Carol Evalda Mitchell-Hamilton, MSN CRNP
• Alvin Mitchell Jr.
• Ashli Mitchell
• Crystal Chanel Mitchell
• Debra L Mitchell, MD
• Eltiana Leondra Mitchell
• Erica Chutz Mitchell
• Gennetta Greer Mitchell, D.C.

• Internal Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.