MITCHELL CLINIC LLC
NPI 1356675664
Chiropractor in Saint James, MO

Active since September 21, 2009
120 S JEFFERSON ST, SUITE 105, SAINT JAMES, MO 65559(573) 265-0310 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mitchell Clinic Llc NPPES

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

MITCHELL CLINIC LLC (NPI 1356675664) is a healthcare organization registered as a chiropractor in Saint James, Missouri and active in the NPI registry since September 2009. The organization lists Gerry Dewayne Mitchell, Owner, as its authorized official.

NPPES Registry Identity

NPI1356675664
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMITCHELL CLINIC LLC
Location Address120 S JEFFERSON ST, SUITE 105Saint James, MO 65559-1365
Mailing Address120 S Jefferson St, Suite 105Saint James, MO 65559-1365 · (573) 265-0310
Organization SubpartNo
Authorized OfficialGerry Dewayne MitchellOwner · (573) 265-0310
Enumeration DateSeptember 21, 2009
✔ NPI 1356675664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2009026117
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
120 S JEFFERSON ST, Saint James, MO 65559

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mitchell Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1194176271
119 E SPRINGFIELD ST
Saint James, MO 65559
(573) 265-0310
✔ Accepts Medicare0.1 mi
Chiropractic
NPI 1770716409
119 E SPRINGFIELD ST
Saint James, MO 65559
(573) 265-0310
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mitchell Clinic LLC's NPI number?

The NPI number for Mitchell Clinic LLC is 1356675664. It was assigned to this organization in the NPPES registry on September 21, 2009.

Where is Mitchell Clinic LLC located?

Mitchell Clinic LLC is located at 120 S Jefferson St Suite 105, Saint James, MO 65559. The listed phone number is (573) 265-0310.

What is Mitchell Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mitchell Clinic LLC enrolled in Medicare?

Yes. Mitchell Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mitchell Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Mitchell Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mitchell Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mitchell Clinic LLC 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.

When was this NPI record last updated?

The NPPES record for Mitchell Clinic LLC was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.