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DR. MARK MITCHELL MD
NPI 1235713686
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 11, 2021PECOS Enrolled
956 MADISON AVENUE, H314, MEMPHIS, TN 38163(901) 304-8515 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Mitchell Md NPPES

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

DR. MARK MITCHELL MD (NPI 1235713686) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235713686
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK MITCHELLCredential: MD
Location Address956 MADISON AVENUE, H314Memphis, TN 38163
Mailing Address151 Glass RdJohnson City, TN 37615-4012 · (931) 675-9266
Phone(901) 304-8515
Sole ProprietorYes
Enumeration DateMay 11, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1235713686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
956 MADISON AVENUE, Memphis, TN 38163
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Mitchell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mark Mitchell's NPI number?

The NPI number for Mark Mitchell is 1235713686. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Mark Mitchell located?

Mark Mitchell practices at 956 Madison Avenue H314, Memphis, TN 38163. The listed phone number is (901) 304-8515.

What is Mark Mitchell's specialty?

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

Is Mark Mitchell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Mitchell was last updated on May 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.