Mitchell Warren, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2022-01191 Issued in NC

Practice address

201 E Grover St
Shelby, NC 28150-3917

Phone

(330) 414-7879

NPI assigned

Apr 30, 2019

Sex

Male

Sole proprietor

No

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.

• Carolinas Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Kings Mountain, NC
  • NPI 1285952671

  Emergency Medicine, NC

  Medicare reassignment Care Compare group NPD

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

• Atrium Health Hospitals Inc

  • General Acute Care Hospital
  • Shelby, NC
  • NPI 1669348991

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Wake Forest University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinas Emergency Physicians PA 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

Medicare fee-for-service enrollment

Enrolled in NC

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwarren918126@carolinashealthcaresystem.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2022.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1942864590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 AUTEN ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084301",
            "telephone_number": "610-945-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503917",
            "telephone_number": "330-414-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-07-02",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10066795",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2022-01191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Steele Walker, OTRL
• Tiffany Renee Walker, CERTIFIED DOULA
• Camron Wallace
• Jacob Tyler Wallace, PHARMD
• Matthew W Warren, PHARMD
• Bianca S Washington, FNP-BC
• Abby Charles Waters, LCSW-A
• Myra Waters, CFO
• Rebecca C Waters, LCMHCA
• Stacey Watkins-Griffith, DMIN

• All providers in Shelby, NC
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.