COLEY BENTON MIZELL
NPI 1073369138
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since April 29, 2024Accepts Medicare Assignment
2430 EMERALD PL STE 201, GREENVILLE, NC 27834(252) 752-2140 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coley Benton Mizell NPPES

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

COLEY BENTON MIZELL (NPI 1073369138) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (313851) and active in the NPI registry since April 2024. He is affiliated with Ecu Health Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073369138
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLEY BENTON MIZELL
Location Address2430 EMERALD PL STE 201Greenville, NC 27834-5743
Mailing Address2430 Emerald Pl Ste 201Greenville, NC 27834-5743 · (252) 752-2140
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1073369138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NC · 313851
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2430 EMERALD PL STE 201, Greenville, NC 27834

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Coley Benton Mizell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527503507
PECOS Enrollment IDI20240715001459

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Nurse Anesthetist, Certified Registered
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Nurse Anesthetist, Certified Registered
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Nurse Anesthetist, Certified Registered
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Nurse Anesthetist, Certified Registered
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Nurse Anesthetist, Certified Registered
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Anesthesiology
2430 EMERALD PL STE 201
GREENVILLE, NC 27834
Nurse Anesthetist, Certified Registered
2430 EMERALD PL STE 201
GREENVILLE, NC 27834

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 Coley Mizell's NPI number?

The NPI number for Coley Mizell is 1073369138. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Coley Mizell located?

Coley Mizell practices at 2430 Emerald Pl Ste 201, Greenville, NC 27834. The listed phone number is (252) 752-2140.

What is Coley Mizell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Coley Mizell enrolled in Medicare?

Yes. Coley Mizell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Coley Mizell affiliated with any hospitals?

According to CMS data, Coley Mizell is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Coley Mizell was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.