DR. KIA MICHON MITCHELL (NPI# 1184602583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184602583 |
| Entity Type | Individual |
| Full Name | DR. KIA MICHON MITCHELL |
| Credential | M.D. |
| Practice Address |
12086 Fort Caroline Rd Ste 401 Jacksonville FL 32225-2687 |
| Mailing Address |
12086 Fort Caroline Rd Ste 401 Jacksonville FL 32225-7640 |
| Practice Telephone | 9045651271 |
| Practice Fax Number | 9046457325 |
| Mailing Telephone | 9045651271 |
| Mailing Fax Number | 9046836884 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME94137 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273549100 | 05 | |
| FL | FL BLUE | 29405 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647035 | Kia Anesia Mitchell | Nurse Practitioner | 2657 Cloud Ln, Decatur, GA 30034-2257 | 2019-06-10 |
| 1679733513 | Kia Deshae Mitchell | Counselor | 1385 Mission St, Suite 240, San Francisco, CA 94103-2623 | 2008-06-13 |
| Street Address |
12086 FORT CAROLINE RD STE 401 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378777 | Stephanie Megumi Lamm | Physician Assistant | 12086 Fort Caroline Rd, 401, Jacksonville, FL 32225-2687 | 2016-10-31 |
| 1730584673 | Megan Finck | Physician Assistant | 12086 Fort Caroline Rd, Suite #401, Jacksonville, FL 32225-2687 | 2014-11-04 |
| 1508110602 | Paul Schloth | Dentist | 12086 Fort Caroline Rd, Suite 105, Jacksonville, FL 32225-2687 | 2012-10-29 |
| 1356693881 | William Dewey Lee IIi | Physician Assistant | 12086 Fort Caroline Rd, Ste # 401, Jacksonville, FL 32225-2687 | 2012-10-08 |
| 1407101033 | Irivelisse Stevens Porter | Dentist | 12086 Fort Caroline Rd, Suite 105, Jacksonville, FL 32225-2687 | 2012-07-19 |
| 1962704866 | Ft Caroline Chiropractic Clinic | Chiropractor | 12086 Fort Caroline Rd, Suite 302, Jacksonville, FL 32225-2687 | 2010-11-29 |
| 1518275254 | Kaitlin Ray | Nurse Practitioner | 12086 Fort Caroline Rd, 401, Jacksonville, FL 32225-2687 | 2010-09-15 |
| 1467778761 | Blake Moser | Chiropractor | 12086 Fort Caroline Rd, Suite 302, Jacksonville, FL 32225-2687 | 2010-04-12 |
| 1710162433 | Atlas Chiropractic Clinic Inc | Clinic/Center | 12086 Fort Caroline Rd, Unit 504, Jacksonville, FL 32225-2687 | 2007-12-31 |
| 1225212319 | Garth Clive Trinder-smith | Chiropractor | 12086 Fort Caroline Rd, Unit 504, Jacksonville, FL 32225-2687 | 2007-12-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.