Brandon Lamar Mitchell (NPI# 1194092973, PAC ID# 4880851419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194092973 |
| PAC ID by PECOS | 4880851419 |
| Professional Enrollment ID | I20120208000960 |
| Full Name | Brandon Lamar Mitchell |
| Organization Legal Name | HNI MEDICAL SERVICES OF FLORIDA, LLC |
| Address |
1 Shircliff Way Jacksonville FL 32204-4748 |
| Phone Number | 5127303056 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517202112 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1 Shircliff Way, Jacksonville, FL 32204-4748 | 5127303056 | HNI MEDICAL SERVICES OF FLORIDA, LLC |
| 4201 Belford Rd, Jacksonville, FL 32216-1431 | 5127303056 | HNI MEDICAL SERVICES OF FLORIDA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | HNI MEDICAL SERVICES OF FLORIDA, LLC |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chaquanta Enjoli Eberheart | Nurse Practitioner | Hni Medical Services of Florida, LLC | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Alice Katherine Lovell | Psychologist, Clinical | Hni Medical Services of Florida, LLC | 9241 Park Royal Dr, Fort Myers, FL 33908-9204 |
| Binh Quoc Doan | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Jason Bernard Allen | Nurse Practitioner | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Leon Rosenkranz | Hospitalist | Hni Medical Services of Florida, LLC | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 |
| Mihir R Faldu | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Cynthia Rizk | Family Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| John P Ebone | Internal Medicine | Hni Medical Services of Florida, LLC | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 |
| Sura Jermanus | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Rajesh Mali | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Street Address |
1 SHIRCLIFF WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Binh Quoc Doan | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Zelia Yanique Archibald | Internal Medicine | Hni Medical Services | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Jason Bernard Allen | Nurse Practitioner | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Mihir R Faldu | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Daniel L Miller | Certified Registered Nurse Anesthetist (crna) | University of Florida Jacksonville Physicians, Inc. | 1 Shircliff Way, St Vincents Medical Center, Jacksonville, FL 32204-4748 |
| Cynthia Rizk | Family Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Sura Jermanus | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Khirstin Michelle Mcafee | Obstetrics/gynecology | Ob Hospitalist Group LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Rajesh Mali | Internal Medicine | Hni Medical Services of Florida, LLC | 1 Shircliff Way, Jacksonville, FL 32204-4748 |
| Ashley Starkweather | Anesthesiology Assistant | North Florida Anesthesia Consultants Inc | 1 Shircliff Way, St. Vincent's Medical Center Rivers, Jacksonville, FL 32204-4748 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brandon Lamar Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.