Individual provider Active NPI

Michael Alexander Mitchell, P.A.

  • Medical Physician Assistant
  • Suffolk, VA
National Provider Identifier
1982674487
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1061312
Practice address
150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168
Phone
(757) 547-5145
Fax
(757) 539-7488
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1061312 Primary
Physician Assistant 363A00000X 0010-16021 NC

Addresses

Primary practice location

150 Burnetts Way
Ste. 100
Suffolk, VA 23434-8168

Mailing address

501 Discovery Dr
Chesapeake, VA 23320-3832
Phone (757) 547-5145

Other practice location 1

905 Thunder Rd Ste 200
Elizabeth City, NC 27909-7672
Phone (252) 334-0420

Other names 1

  • Michael A Mitchell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131030000149 VA Practitioner - Physician Assistant 2961649926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport Medicine and Orthopaedic Center IncGroup PAC ID 8921046616, 24 clinicians

Practice addresses (Care Compare)

150 Burnetts Way
Suite 100
Suffolk, VA 23434-8168
Phone 75754751453502

5801 Harbour View Blvd
Suite 200
Suffolk, VA 23435-2657
Phone 75754751453502

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
47.9
Promoting interoperability
99
Improvement activities
40
Cost
79.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-16021NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Center CurrentSince Oct 2, 2013 Accepting new patients
Sport Medicine and Orthopaedic Center Inc Physician Assistant CurrentSince Oct 2, 2013 Accepting new patients

Locations

814 Greenbrier Cir
Ste F
Chesapeake, VA 23320
Phone (757) 842-7010

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone 75754751453502

5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.mitchell.1@24174.direct.athenahealth.com

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1982674487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DISCOVERY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203832",
            "telephone_number": "757-547-5145",
            "fax_number": "757-312-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY",
            "address_2": "STE. 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-547-5145",
            "fax_number": "757-539-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Thunder Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279097672",
            "country_code": "US",
            "telephone_number": "252-334-0420",
            "fax_number": "844-527-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "1061312",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MITCHELL",
            "middle_name": "A",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.