THE COUNTRY DOCTOR, LTD.
NPI 1750553749
Family Medicine in Belleville, IL
About The Country Doctor, Ltd. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE COUNTRY DOCTOR, LTD. (NPI 1750553749) is a healthcare organization registered as a family medicine in Belleville, Illinois and active in the NPI registry since March 2008. The organization lists David Larry Mitchell, Physician/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Country Doctor, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Country Doctor, Ltd., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 The Country Doctor, Ltd.'s NPI number?
The NPI number for The Country Doctor, Ltd. is 1750553749. It was assigned to this organization in the NPPES registry on March 31, 2008.
Where is The Country Doctor, Ltd. located?
The Country Doctor, Ltd. is located at 2310 Country Rd, Belleville, IL 62221. The listed phone number is (618) 277-3197.
What is The Country Doctor, Ltd.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is The Country Doctor, Ltd. enrolled in Medicare?
Yes. The Country Doctor, Ltd. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Country Doctor, Ltd.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to The Country Doctor, Ltd.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Country Doctor, Ltd. was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# The Country Doctor, Ltd. · NPI 1750553749
Family Medicine organization in Belleville, Illinois. Organization record, active in the CMS NPPES registry since March 31, 2008.
## Identity
- **NPI:** 1750553749 (Entity type: Organization)
- **Enumerated:** March 31, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Mitchell, PHYSICIAN/PRESIDENT
## Practice location
- **Address:** 2310 COUNTRY RD, Belleville, IL 62221-2570
- **Phone:** (618) 277-3197
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2008
- **Other identifiers:** Medicare PIN 202273 (IL); Medicare UPIN H65662 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1750553749) · Data from the CMS NPPES public registry.