Individual provider Active NPI

Barbara Gates Mitchem, DC

  • Chiropractor
  • Columbus, TX
National Provider Identifier
1992891147
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4113 Issued in TX
Practice address
109 Shult Dr
Suite 208
Columbus, TX 78934-3009
Phone
(979) 733-9500
Fax
(979) 733-9501
NPI assigned
Oct 5, 2006
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4113 TX Primary

Addresses

Primary practice location

109 Shult Dr
Suite 208
Columbus, TX 78934-3009

Mailing address

PO Box 627
Columbus, TX 78934-0627
Phone (979) 733-9500

Other names 1

  • Mrs. Barbara Gates Mitchem Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000659 TX Practitioner - Chiropractic 6305948258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1123 Fannin St
Columbus, TX 78934-2263
Phone (979) 733-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Gates Mitchem CurrentSince Oct 26, 2006 Accepting new patients
Lewis Chiropractic PA Chiropractor Past Accepting new patients

Locations

109 Shult Dr
Ste 208
Columbus, TX 78934
Phone (979) 733-0690

1123 Fannin St
Columbus, TX 78934
Phone (979) 733-9500

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, 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1992891147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789340627",
            "telephone_number": "979-733-9500",
            "fax_number": "979-733-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SHULT DR",
            "address_2": "SUITE 208",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343009",
            "telephone_number": "979-733-9500",
            "fax_number": "979-733-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "BARBARA",
        "middle_name": "GATES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MITCHEM",
            "middle_name": "GATES",
            "prefix": "MRS.",
            "credential": "LO LICENSED ORTHOTIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.