Jason James Mitchell (NPI# 1316342009, PAC ID# 5092071423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316342009 |
| PAC ID by PECOS | 5092071423 |
| Professional Enrollment ID | I20171117000505 |
| Full Name | Jason James Mitchell |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Address |
8001 T W Alexander Dr Raleigh NC 27617-4883 |
| Phone Number | 9193500953 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416006085 |
| Number of Group Practice Members | 525 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 8001 T W Alexander Dr, Raleigh, NC 27617-4883 | 9193500953 | WAKE SPECIALTY PHYSICIANS LLC |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Randolph Tibbels | Family Medicine | Wake Specialty Physicians LLC | 2930 Forestville Rd, Raleigh, NC 27616-8774 |
| Sheree D. Givre | Internal Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Kelechi C Uwakwe | Nurse Practitioner | Wake Specialty Physicians LLC | 150 E Davie St, Raleigh, NC 27601-1806 |
| Jewell Elizabeth Whitmer | Certified Nurse Midwife (cnm) | Wake Specialty Physicians LLC | 204 Ashville Ave, Cary, NC 27518-6670 |
| Shahla Naz | Family Medicine | Wake Specialty Physicians LLC | 101 Cotten Ln, Holly Springs, NC 27540-8415 |
| Pamela L Borden | Certified Nurse Midwife | Wake Specialty Physicians LLC | 208 Ashville Ave, Cary, NC 27518-6678 |
| Swapna V Chenna | Family Medicine | Wake Specialty Physicians LLC | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 |
| Dustin Pierson | Family Medicine | Wake Specialty Physicians LLC | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 |
| Adija D Bailey | Physician Assistant | Wake Specialty Physicians LLC | 901 Old Knight Rd, Knightdale, NC 27545-9065 |
| Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Street Address |
8001 T W ALEXANDER DR |
| City | RALEIGH |
| State | NC |
| Zip | 27617-4883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Wood | Sports Medicine | Wakemed Specialists Group, LLC | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 |
| Jacqueline Michele Hicks | Family Medicine | Wake Specialty Physicians LLC | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 |
| Sara L Rooker | Family Medicine | Wake Specialty Physicians LLC | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 |
| Chelsea Kechonson Ngongang | Cardiovascular Disease (cardiology) | Wakemed Specialists Group, LLC | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 |
| Manjula Nagaraja | Pulmonary Disease | Wakemed Specialists Group, LLC | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 |
| Amy S Erickson | Family Medicine | Wake Specialty Physicians LLC | 8001 T W Alexander Dr, Raleigh, NC 27617-4883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Portner | Chiropractic | Claudio Chiropractic and Wellness Pllc | 7841 Alexander Promenade Pl, Suite 120, Raleigh, NC 27617-1914 |
| Annina Marie Palucci Dougherty | Physical Therapy | Activcare Physical Therapy LLC | 7880 Alexander Promenade Pl, Raleigh, NC 27617-1918 |
| John Sunghoon Won | Oral Surgery | 8851 Ellstree Ln, Suite 116, Raleigh, NC 27617-2046 | |
| William Barrett Gunter | Obstetrics/gynecology | Uwh of North Carolina LLP | 8851 Ellstree Lane, Suite 201, Raleigh, NC 27617-2046 |
| Michael Walker Kelly | Ophthalmology | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| Sean W Smolenyak | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| John William Langel | Optometry | The Kelly Eye Center Pa | 8851 Ellstree Ln, Suite 200, Raleigh, NC 27617-2046 |
| Toby A Ritterhoff | Obstetrics/gynecology | Uwh of North Carolina LLP | 8851 Ellstree Lane, Suite 201, Raleigh, NC 27617-2046 |
| Thomas R Sneed | Psychiatry | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Samuel David Aloian | Physician Assistant | Triangle Springs Physician Group LLC | 10901 World Trade Blvd, Raleigh, NC 27617-4203 |
| Find all physicians in zip 27617 | |||
| City | RALEIGH |
| Zip Code | 27617 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RALEIGH + NURSE PRACTITIONER |
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| 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.