DR. KELLIE MICHELLE MITCHELL MD
NPI 1245934900
Student in an Organized Health Care Education/Training Program in Oxford, MS

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
1100 BELK BLVD, OXFORD, MS 38655(662) 636-1000 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kellie Michelle Mitchell Md NPPES

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

DR. KELLIE MICHELLE MITCHELL MD (NPI 1245934900) is an individual student in an organized health care education/training program in Oxford, Mississippi and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (2023).

NPPES Registry Identity

NPI1245934900
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KELLIE MICHELLE MITCHELLCredential: MD
Location Address1100 BELK BLVDOxford, MS 38655-5242
Mailing Address1100 Belk BlvdOxford, MS 38655-5242 · (662) 636-1000
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2023
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1245934900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1100 BELK BLVD, Oxford, MS 38655

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

Dr. Kellie Michelle Mitchell Md 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 ID9032571518
PECOS Enrollment IDI20260430000494
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.

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.

Student in an Organized Health Care Education/Training Program
1100 BELK BLVD
OXFORD, MS 38655
Pediatrics
1100 BELK BLVD
OXFORD, MS 38655
Student in an Organized Health Care Education/Training Program
1100 BELK BLVD
OXFORD, MS 38655
Registered Nurse
1100 BELK BLVD
OXFORD, MS 38655
Anesthesiology
1100 BELK BLVD
OXFORD, MS 38655
Internal Medicine
1100 BELK BLVD
OXFORD, MS 38655
Radiology (Diagnostic Radiology)
1100 BELK BLVD
OXFORD, MS 38655
General Acute Care Hospital
1100 BELK BLVD
OXFORD, MS 38655

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 Kellie Mitchell's NPI number?

The NPI number for Kellie Mitchell is 1245934900. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Kellie Mitchell located?

Kellie Mitchell practices at 1100 Belk Blvd, Oxford, MS 38655. The listed phone number is (662) 636-1000.

What is Kellie 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 Kellie Mitchell enrolled in Medicare?

Yes. Kellie 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.

When was this NPI record last updated?

The NPPES record for Kellie Mitchell was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.