1. Home
  2. Directory
  3. North Carolina
  4. Camp Lejeune
  5. Military Health Care Provider
  6. NPI Profile

MICHAEL SHANE MITCHELL IDC
NPI 1194168807
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since April 11, 2013
5371 WASHINGTON ST, CAMP LEJEUNE, NC 28547(843) 640-2075 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Shane Mitchell Idc NPPES

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

MICHAEL SHANE MITCHELL IDC (NPI 1194168807) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1194168807
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMICHAEL SHANE MITCHELLCredential: IDC
Location Address5371 WASHINGTON STCamp Lejeune, NC 28547-1104
Mailing Address5371 Washington StCamp Lejeune, NC 28547-1104 · (843) 640-2075
Phone(843) 640-2075
Sole ProprietorYes
Enumeration DateApril 11, 2013
✔ NPI 1194168807 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.
5371 WASHINGTON ST, Camp Lejeune, NC 28547
Open in Google Maps ↗

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 Michael Mitchell's NPI number?

The NPI number for Michael Mitchell is 1194168807. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Michael Mitchell located?

Michael Mitchell practices at 5371 Washington St, Camp Lejeune, NC 28547. The listed phone number is (843) 640-2075.

What is Michael 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 Michael Mitchell was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.