NPIMap

Individual provider Active NPI

Mitchell Scott Collman, MD

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1962454884
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26646 Issued in NC
Practice address
2615 Lake Dr
Suite 301
Raleigh, NC 27607-6693
Phone
(919) 960-7100
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26646 NC Primary

Addresses

Primary practice location

2615 Lake Dr
Suite 301
Raleigh, NC 27607-6693

Mailing address

2615 Lake Dr
Suite 301
Raleigh, NC 27607-6693
Phone (919) 960-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120718000310 SC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749268043 Reassigns benefits to 1 organization
I20250402001279 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749268043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

2755 S Hwy 14
Suite 2350
Greer, SC 29650-4939
Phone (864) 583-8647

Hospital & facility affiliations

  • Pelham Medical Center Hospital, Greer, SC, CCN 420103
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26646NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Mar 3, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Mar 3, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Cardiovascular Disease CurrentSince May 1, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Spartanburg Medical Center CurrentSince May 1, 2025 Accepting new patients
Piedmont Cardiology PA Cardiovascular Disease Past Accepting new patients
Raleigh Cardiology Associates, PA Cardiovascular Disease Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

2332 23rd St
Eureka, CA 95501
Phone (707) 444-2819

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

2755 S Highway 14
Ste 2350
Greer, SC 29650
Phone (864) 583-8647

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

Interoperability endpoints

  • Direct secure messaging: mcollman3788001@oc.providencedirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1962454884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 LAKE DR",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076693",
            "telephone_number": "919-960-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 LAKE DR",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076693",
            "telephone_number": "919-960-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLMAN",
        "first_name": "MITCHELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "26646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.