Maria Mitchell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2005-00543 Issued in NC

Practice address

1429 E Fire Tower Rd
Suite 104
Greenville, NC 27858-5730

Phone

(252) 364-2802

Fax

(252) 207-0709

NPI assigned

Nov 2, 2006

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 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.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality Health and Wellness PLLCGroup PAC ID 6103109574, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitality Health and Wellness PLLC

  • Adult Health Nurse Practitioner
  • Greenville, NC
  • NPI 1164742870
  Medicare reassignment Care Compare group
• East Coast on-Site Medical Care, Inc

  • Family Nurse Practitioner
  • Greenville, NC
  • NPI 1811128168
  Medicare reassignment NPD

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

• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1952480048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E FIRE TOWER RD",
            "address_2": "SUITE 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585730",
            "telephone_number": "252-364-2802",
            "fax_number": "252-207-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E FIRE TOWER RD",
            "address_2": "SUITE 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585730",
            "telephone_number": "252-364-2802",
            "fax_number": "252-207-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-00543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907465",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Shanice Mitchell, PHARMD
• Dasia Mitchell
• Hilda Elena Mitchell
• Jessica Heath Mitchell, PA
• Katisha Elzatie Mitchell, AGPCNP
• Ryan Christopher Mitchell, DNP, FNP-C
• Sara Mitchell
• Shelby Mitchell, LMFTA
• Shenee Denise Mitchell, DMD
• Tanesha Larshine Mitchell, LCSWA

• Family Medicine Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.