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BRANDON LAMAR MITCHELL PAC
NPI 1194092973
Physician Assistant - Medical in Jacksonville, FL

Active since November 22, 2011PECOS EnrolledAccepts Medicare Assignment
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Mar 17, 2018, Dec 7, 2017 (3 updates tracked since 2017).

About Brandon Lamar Mitchell Pac NPPES

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

BRANDON LAMAR MITCHELL PAC (NPI 1194092973) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9106322) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194092973
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRANDON LAMAR MITCHELLCredential: PAC
Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-3860
Fax(904) 202-3846
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 22, 2011
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1194092973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106322
820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11926 10th Ave N Ste 105Lake Worth, FL 33461-3300 · Phone (615) 345-5400 · Fax (888) 468-6511
Location 21200 Riverplace Blvd, Suite 620Jacksonville, FL 32207-9046 · Phone (904) 396-6620 · Fax (904) 396-6528

Other Identifiers 1

Medicaid006445300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Brandon Lamar Mitchell Pac 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 ID4880851419
PECOS Enrollment IDI20120208000960
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval 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.

SANDRELA MUSSALLAM ABU SHAIBEH
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
YU-CHUN LI APRN
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. CHRISTOPHER PATRICK CARROLL MD
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
CHAQUANTA ENJOLI EBERHEART APRN
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
PETER N DAVISON MD
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. BRYANT MAURI DO
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. VENKATA R. MONINGI MD
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860
DR. IRENE KATHRYN KLEIN LOUH MD, PHD
Internal Medicine (Pulmonary Disease)
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Duval County (904) 202-3860

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 Brandon Mitchell's NPI number?

The NPI number for Brandon Mitchell is 1194092973. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Brandon Mitchell located?

Brandon Mitchell practices at 820 Prudential Dr Ste 304, Jacksonville, FL 32207. The listed phone number is (904) 202-3860.

What is Brandon Mitchell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brandon Mitchell enrolled in Medicare?

Yes. Brandon Mitchell 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.

What insurance does Brandon Mitchell accept?

Health plans from AvMed list Brandon 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.

Is Brandon Mitchell affiliated with any hospitals?

According to CMS data, Brandon Mitchell is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Brandon Mitchell was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.