Active NPI
J Keith Mitchell, MD
- Family Medicine Physician
- De Queen, AR
National Provider Identifier
1942208277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-8135
- Practice address
- 155 Highway 71 N
De Queen, AR 71832-3706 - Phone
- (870) 642-8818
- Fax
- (844) 284-1064
- NPI assigned
- Jul 11, 2005
- Reactivated
- Mar 23, 2006
- Last updated
- Apr 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-8135 | AR | Primary |
Addresses
Primary practice location
155 Highway 71 N
De Queen, AR 71832-3706
Mailing address
PO Box 351
De Queen, AR 71832-0351
Phone (870) 642-8818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125229001 | Medicaid | AR | |
| 5J334 | Other | AR | BLUE CROSS BLUE SHEILD |
Other names 1
- James Keith Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
155 Hwy 71 N
De Queen, AR 71832-3706
Phone (870) 642-8818
Hospital & facility affiliations
- Amedisys Home Health
- Sevier County Medical Center
- Christus St Michael Health System
- Howard Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 16 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell Medical | Family Medicine | Current | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- De Queen, AR
- NPI 1568061828
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- De Queen, AR
- NPI 1154906162
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Nashville, AR
- NPI 1851484695
-
- Critical Access Hospital
- De Queen, AR
- NPI 1386367506
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1942208277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 351",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718320351",
"telephone_number": "870-642-8818",
"fax_number": "844-284-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 HIGHWAY 71 N",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718323706",
"telephone_number": "870-642-8818",
"fax_number": "844-284-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "J",
"middle_name": "KEITH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-8135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125229001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "5J334",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "MITCHELL",
"middle_name": "KEITH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.