WILLIAM CLAY MITCHELL III M.D.
NPI 1245646587
Family Medicine in Jackson, TN

Active since July 08, 2014PECOS EnrolledAccepts Medicare Assignment
95.98/100
CMS Quality Rating
620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2019, Nov 22, 2016 (2 updates tracked since 2016).

About William Clay Mitchell Iii M.d. NPPES

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

WILLIAM CLAY MITCHELL III M.D. (NPI 1245646587) is an individual family medicine provider in Jackson, Tennessee, licensed in Tennessee (59406) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Sebastian River Medical Center, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1245646587
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM CLAY MITCHELL IIICredential: M.D.
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing Address620 Skyline DrJackson, TN 38301-3923
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2014
Enumeration DateJuly 8, 2014
Last NPPES UpdateNovember 23, 20192 updates tracked since enumeration
NPI 1245646587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 59406 Licensed in FL · ME129135
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

620 SKYLINE DR, Jackson, TN 38301

Secondary Practice Location 1

Location 11600 Medical Center Dr, Suite 1500Huntington, WV 25701-3656 · Phone (304) 691-1165

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

William Clay Mitchell Iii M.d. 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 ID7810278512
PECOS Enrollment IDI20201019001292
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
293 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
237 services217 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
145 services140 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services75 patients

Hospital Affiliations CMS Care Compare 2

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

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

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.

Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301

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 William Mitchell's NPI number?

The NPI number for William Mitchell is 1245646587. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is William Mitchell located?

William Mitchell practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-5000.

What is William Mitchell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Mitchell enrolled in Medicare?

Yes. William 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.

Is William Mitchell affiliated with any hospitals?

According to CMS data, William Mitchell is affiliated with Sebastian River Medical Center and Melbourne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Mitchell was last updated on November 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.