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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHAN ARIZONA MITCHELL MD
NPI 1962328583
Internal Medicine in Charleston, SC

Active since June 26, 2026PECOS Enrolled
135 RUTLEDGE AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Arizona Mitchell Md NPPES

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

ETHAN ARIZONA MITCHELL MD (NPI 1962328583) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL97443) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962328583
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameETHAN ARIZONA MITCHELLCredential: MD
Location Address135 RUTLEDGE AVECharleston, SC 29425-0100
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone(843) 792-1414
Sole ProprietorNo
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1962328583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL97443
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
135 RUTLEDGE AVE, Charleston, SC 29425
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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)

Ethan Arizona 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

BRIANNE NICOLE SHOKRI PHARMD
Pharmacist
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 876-0253
DR. ANA DIAZ-LEPAGE PHD
Psychologist (Clinical Child & Adolescent)
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 876-0444
CLARICE MARTHA HAUSCHILDT AUD
Audiologist
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
RICHARD LOWELL T BARR MD
Internal Medicine
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 792-5386
TARYN BENTLER PA-C
Physician Assistant (Medical)
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3531
RITHI JOHN CHANDY
Dermatology
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 792-9155
DEANNA ANNE KIDWELL PHARMD
Pharmacist
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 324-6978
MS. KIMBERLY EDGE FOIL MS
Genetic Counselor, MS
135 RUTLEDGE AVE
CHARLESTON, SC 29425
Charleston County (843) 792-6951

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 Ethan Mitchell's NPI number?

The NPI number for Ethan Mitchell is 1962328583. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Ethan Mitchell located?

Ethan Mitchell practices at 135 Rutledge Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Ethan Mitchell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ethan Mitchell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ethan Mitchell was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.