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KIRBY MITCHELL RD
NPI 1093464323
Dietitian, Registered in Southern Pines, NC

Active since March 23, 2022
760C NW BROAD ST, SOUTHERN PINES, NC 28387(919) 895-0755 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kirby Mitchell Rd NPPES

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

KIRBY MITCHELL RD (NPI 1093464323) is an individual dietitian, registered in Southern Pines, North Carolina, licensed in North Carolina (L005596) and active in the NPI registry since March 2022. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1093464323
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKIRBY MITCHELLCredential: RD
Location Address760C NW BROAD STSouthern Pines, NC 28387-4102
Mailing Address100 Fontana Lake RdAberdeen, NC 28315-2030 · (919) 895-0755
Phone(919) 895-0755
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1093464323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L005596
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
760C NW BROAD ST, Southern Pines, NC 28387
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirby Mitchell Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709258031
PECOS Enrollment IDI20260325003222

Other Providers at the Same Location NPPES 8

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

FORTIFIED MED PLLC
Clinic/Center (Primary Care)
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236
ERIN SKINNER RD
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236
THRIVE HEALTH & WELLNESS, INC.
Clinic/Center
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236
RACHEL LEIGH GARY RDN, LDN
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236
MELISSA RENAE TEEL RDN
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 800-7326
BRITTANY CHOI CNS
Nutritionist
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236
AMBER RACHELLE TILLMAN FNP-C
Nurse Practitioner (Family)
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236
MRS. AMANDA NICOLE KANDES FNP-C
Nurse Practitioner (Family)
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Moore County (916) 431-0236

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 Kirby Mitchell's NPI number?

The NPI number for Kirby Mitchell is 1093464323. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Kirby Mitchell located?

Kirby Mitchell practices at 760C NW Broad St, Southern Pines, NC 28387. The listed phone number is (919) 895-0755.

What is Kirby Mitchell's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kirby Mitchell enrolled in Medicare?

Yes. Kirby Mitchell is registered in the Medicare PECOS enrollment system.

What insurance does Kirby Mitchell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Kirby Mitchell 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.

When was this NPI record last updated?

The NPPES record for Kirby Mitchell was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.