MARK ANTHONY MITCHELL IDC
NPI 1013107499
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Active since July 31, 2007
1140 KELLUM LOOP RD, #36, JACKSONVILLE, NC 28546(917) 603-6469 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Anthony Mitchell Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANTHONY MITCHELL IDC (NPI 1013107499) is an individual independent duty corpsman provider in Jacksonville, North Carolina and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1013107499
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMARK ANTHONY MITCHELLCredential: IDC
Location Address1140 KELLUM LOOP RD, #36Jacksonville, NC 28546-3321
Mailing Address1140 Kellum Loop Rd, #36Jacksonville, NC 28546-3321 · (917) 603-6469
Sole ProprietorNo
Enumeration DateJuly 31, 2007
NPI 1013107499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1140 KELLUM LOOP RD, Jacksonville, NC 28546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mitchell's NPI number?

The NPI number for Mark Mitchell is 1013107499. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Where is Mark Mitchell located?

Mark Mitchell practices at 1140 Kellum Loop Rd #36, Jacksonville, NC 28546. The listed phone number is (917) 603-6469.

What is Mark Mitchell's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Mark Mitchell was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.