Mitchell Scott Mathes
Individual provider Active NPI Nurse Practitioner · Lewisburg, TN
NPI 1992628267 · NPPES record last updated Aug 23, 2026
Key facts
- NPI
- 1992628267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 195714 (TN)
- Practice address
- 1307 N Ellington Pkwy
Lewisburg, TN 37091-2217 - Phone
- (931) 359-4555
- NPI assigned
- Aug 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 195714 | TN | |
| Nurse Practitioner | 363L00000X | 195714 | TN | Yes |
Addresses
Primary practice location
1307 N Ellington Pkwy
Lewisburg, TN 37091-2217
Mailing address
402 Kelso Mulberry Rd
Mulberry, TN 37359-5106
Phone (931) 922-9729
Other providers in Lewisburg, TN
- Marshall County Government
- Marshall County Senior Citizens, Inc.
- Marshall Medial Center
- Deanna Nicolett Marshall
- Lisa Masri
- Mark Anthony Matzkiw
- Maury Regional Hospital
- Maury Regional Hospital
- Maury Regional Hospital Marshall Medical Center
- Maury Regional Hospital Marshall Medical Center
All providers in Lewisburg, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.