Kyley Mitchell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3626 Issued in TN

Practice address

105 E Market St
Somerville, TN 38068-1407

Phone

(901) 465-3955

NPI assigned

Jul 31, 2020

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jessup Mobile Opt TN LLC 6 clinicians

Mitchell Eye Center, PLLC 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.06 of 100Reported as group

Quality

79.74

Promoting interoperability

84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Jessup Mobile Opt TN LLC

  • Optometrist
  • Nashville, TN
  • NPI 1740763325
  Medicare reassignment Care Compare group NPD
• Mitchell Eye Center, PLLC

  • Clinic/Center
  • Selmer, TN
  • NPI 1235633199

  Optometrist, TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1962012369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 WALNUT GROVE RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380088018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MARKET ST",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380681407",
            "telephone_number": "901-465-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Stonebrook Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053636",
            "country_code": "US",
            "telephone_number": "731-215-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KYLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middlecoff Super D Drugs 116 Inc
• Charnell Whitfield Middlecoff III, DPH
• Mary K Middlecoff, DDS
• William J Middlecoff, DDS
• David Miedema, MD
• Sarah Morrison, PHARM D
• NHC Healthcare Somerville LLC
• NHC Healthcare-Somerville LLC
• Northwest Tennessee Emergency Physicians, LLP
• Northwest Tennessee Emergency Physicians, LLP

• All providers in Somerville, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.