Active NPI
Charlie Mitchell
- Physician Assistant
- Benton, TN
National Provider Identifier
1992642052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6784 Highway 411
Benton, TN 37307-4886 - Phone
- (423) 338-8995
- NPI assigned
- Apr 29, 2026
- Last updated
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
6784 Highway 411
Benton, TN 37307-4886
Mailing address
6784 Highway 411
Benton, TN 37307-4886
Phone (423) 338-2833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1992642052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6784 HIGHWAY 411",
"city": "BENTON",
"state": "TN",
"postal_code": "373074886",
"telephone_number": "423-338-2833",
"fax_number": "423-338-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6784 HIGHWAY 411",
"city": "BENTON",
"state": "TN",
"postal_code": "373074886",
"telephone_number": "423-338-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CHARLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-29",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, TN
- Victoria L Kinsey, DO
- Aleksander Ivanovich Malakhov, M.D.
- Laurel Martin, NP
- Denise Renee McCluskey, FNP-C
- Priscilla Inez McKnight, RN
- Tonya Morgan, FNP-BC
- Jason Dewayne Nicholson, DDS
- Ocoee Regional Health Corporation
- Ocoee Regional Health Corporation (Benton Family Health Care Center)
- Ocoee Regional Health Corporation (Benton Elementary School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.