Individual provider Active NPI

Elizabeth Wyatt Mitchell, M.D.

  • Ophthalmology Physician
  • Madison, MS
National Provider Identifier
1962430074
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13902 Issued in MS
Practice address
501 Baptist Dr Ste 220
Madison, MS 39110-2031
Phone
(601) 985-9120
Fax
(601) 985-9122
NPI assigned
Jun 29, 2006
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13902 MS Primary

Addresses

Primary practice location

501 Baptist Dr Ste 220
Madison, MS 39110-2031

Mailing address

501 Baptist Dr Ste 220
Madison, MS 39110-2031
Phone (601) 985-9120

Other identifiers 2

IdentifierTypeStateIssuer
331056270OtherMSBLUE CROSS PROVIDER NUMBE
00124327MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20031210000955 MS Practitioner - Ophthalmology 3375447253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Mitchell Eyecare PAGroup PAC ID 1254235120, 2 clinicians

Practice addresses (Care Compare)

501 Baptist Dr
Suite 220
Madison, MS 39110-2031
Phone (601) 985-9120

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34318TNMDPharmacist
13902MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Mitchell Eyecare PA Ophthalmology CurrentSince Aug 1, 2003 Accepting new patients
Image Optical LLC Ophthalmology PastSince Apr 14, 2014 Accepting new patients
Total Eye Care PA Past Accepting new patients
Total Eye Care P a Ophthalmology PastSince Jul 11, 2005 Accepting new patients

Locations

501 Marshall St
Ste 603
Jackson, MS 39202
Phone (601) 985-9120

501 Baptist Dr
Ste 220
Madison, MS 39110
Phone (601) 790-9914

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1962430074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELIZABETH",
        "middle_name": "WYATT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "13902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "331056270",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124327",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.