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DR DALE MITCHUM INC
NPI 1962596122
Specialist in Geneva, AL

Active since October 03, 2006
100 W LAKE PROFESSIONAL PARK, SUITE #2, GENEVA, AL 36340(334) 684-3007(334) 684-3059 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr Dale Mitchum Inc NPPES

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

DR DALE MITCHUM INC (NPI 1962596122) is a healthcare organization registered as a specialist in Geneva, Alabama and active in the NPI registry since October 2006. The organization lists Dale G Mitchum, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1962596122
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDR DALE MITCHUM INC
Location Address100 W LAKE PROFESSIONAL PARK, SUITE #2Geneva, AL 36340-1203
Mailing AddressPo Box 900Geneva, AL 36340-0900 · (334) 684-3007 · Fax (334) 684-3059
Phone(334) 684-3007
Fax(334) 684-3059
Organization SubpartNo
Authorized OfficialDale G MitchumOwner/doctor · (334) 684-3007
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 24, 2008
✔ NPI 1962596122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 12381
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 W LAKE PROFESSIONAL PARK, Geneva, AL 36340
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Other Identifiers 3

Medicare UPINE14405AL
Other51001850AL · Bcbs Billing Number
Medicare ID-Type Unspecified05155573AL · Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Dale Mitchum Inc 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 Dr Dale Mitchum Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dale Mitchum, MD
General Surgery
NPI 1801997218
100 W LAKE PROFESSIONAL PARK STE 2
Geneva, AL 36340
(334) 684-3007
✔ PECOS✔ Accepts Medicare0.1 mi
Sherry Young, ARNP
Nurse Practitioner
NPI 1831463421
2600 HOSPITAL DR
Bonifay, FL 32425
(850) 547-8158
✔ PECOS✔ Accepts Medicare24 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 Dr Dale Mitchum Inc's NPI number?

The NPI number for Dr Dale Mitchum Inc is 1962596122. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Dr Dale Mitchum Inc located?

Dr Dale Mitchum Inc is located at 100 W Lake Professional Park Suite #2, Geneva, AL 36340. The listed phone number is (334) 684-3007.

What is Dr Dale Mitchum Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dr Dale Mitchum Inc enrolled in Medicare?

Yes. Dr Dale Mitchum Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Dale Mitchum Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dr Dale Mitchum Inc, in General Surgery and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Dale Mitchum Inc was last updated on March 24, 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.