COLEY BENTON MIZELL
NPI 1073369138
Student in an Organized Health Care Education/Training Program in Greenville, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Coley Mizell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,097 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
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.
Which organization bills Medicare for Coley Mizell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coley Mizell reassigns Medicare benefits to East Carolina Anesthesia Associates, PLLC (Greenville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Coley Mizell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Coley Mizell accept?
Health plans from Cigna Healthcare list Coley Mizell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Coley Benton Mizell · NPI 1073369138
Student in an Organized Health Care Education/Training Program provider in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since April 29, 2024.
## Identity
- **NPI:** 1073369138 (Entity type: Individual)
- **Enumerated:** April 29, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 313851 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2430 EMERALD PL STE 201, Greenville, NC 27834-5743
- **Phone:** (252) 752-2140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** East Carolina Anesthesia Associates, PLLC (NPI 1205996519, Greenville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073369138) · Data from the CMS NPPES public registry.