Dr. Charles Austin Mitchell Jr.
Dermatology

Address: 206b Babb Dr, Lebanon, TN 37087-2508
Phone: 6154434112

Dr. Charles Austin Mitchell Jr. (NPI# 1063409845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1063409845
Entity Type Individual
Full Name Dr. Charles Austin Mitchell Jr.
Credential MD
Gender Male
Practice Address 206b Babb Dr
Lebanon
TN 37087-2508
Practice Telephone 6154434112
Mailing Address 206b Babb Dr
Lebanon
TN 37087-2508
Mailing Telephone 6154434112
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2005-10-05
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207N00000X Dermatology Allopathic & Osteopathic Physicians MD7104 TN

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NPI Name Taxonomy Address Enumeration
1902186596 Charles Mitchell Counselor 4 Trescott Dr, Durham, NC 27703-3796 2011-08-26
1437195120 Charles Ray Mitchell Family Medicine 25 Airpark Ct, Greenville, SC 29607-6188 2006-06-21
1356341721 Charles Howard Mitchell Surgery 200 Melville Dr, Pauls Valley, OK 73075-6600 2005-07-28
1245238567 Charles Austin Mitchell IIi Internal Medicine 5505 Edmondson Pike, 10, Nashville, TN 37211-5872 2005-07-11
1437152915 Charles D Mitchell Specialist 3500 I-30 Bldg C, Ste 101, Mesquite, TX 75150 2005-05-27
1902461445 Charles Branton Mitchell Counselor 305 Westfield Rd, Knoxville, TN 37919-4824 2019-05-09
1689199143 Charles Mitchell Counselor 86 Beach St, Westerly, RI 02891-2718 2017-08-07
1316347891 Charles Lester Talan Mitchell Physical Therapist 520 Palm Coast Pkwy Sw, St # 101, Palm Coast, FL 32137-4742 2014-09-03
1255744702 Charles Mitchell Physical Medicine & Rehabilitation 1100 Blythe Blvd, Charlotte, NC 28203-5814 2014-06-03
1821414772 Charles Mitchell Rehabilitation Practitioner 3085 S Jones Blvd Ste D, Las Vegas, NV 89146-6767 2014-03-14
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Physician Overview

NPI 1063409845
PAC ID by PECOS 8628971116
Professional Enrollment ID I20110406000644
Full Name Charles Austin Mitchell
Organization Legal Name CUMBERLAND SKIN SURGERY AND DERMATOLOGY
Phone Number 6154434112
Gender M
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1970
Primary Specialty DERMATOLOGY
Group Practice PAC ID 0941391338
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528124195 Kyle Leland Horner Dermatology 2500 S. Main Road, Lebanon, OR 97355 2006-12-28
1861555419 Charles A. Mitchell Dermatology 206 Babb Dr # B, Lebanon, TN 37087-2508 2006-12-18
1205897840 Judy Y Hu Dermatology 1405 Baddour Pkwy, Suite 101, Lebanon, TN 37087-2595 2006-03-31
1598745747 Daniel G Zavadak Dermatology 923 Russell Dr, Lebanon, PA 17042-7487 2006-01-21
1952301301 Georgia A Tuttle Dermatology 129 Mechanic St, Lebanon, NH 03766-1522 2005-07-28
1285103689 Jessica A Barron Dermatology 107 Glidepath Way, Lebanon, TN 37090 2018-11-15
1538546957 Carsten Robert Hamann Dermatology 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 2015-05-05
1295155232 Emily E Shaughnessy Dermatology 18 Old Etna Rd, Dermatology, Lebanon, NH 03766 2014-04-17
1578809265 Dh Specialty Services LLC Dermatology 1 Medical Center Dr, Lebanon, NH 03756-1000 2012-12-27
1316200413 Lindsey Kay Collins Dermatology 1 Medical Center Dr, Dhmc Department of Dermatology, Lebanon, NH 03756-1000 2012-06-22
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Office Location

Street Address 206B BABB DR
City LEBANON
State TN
Zip Code 37087-2508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407941594 Lesa Lanius Stovall Specialist 206b Babb Dr, Lebanon, TN 37087-2508 2006-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306405725 Angela Kurtz Hearing Instrument Specialist 1430 West Baddour Parkwayste D, Lebanon, TN 37087 2019-06-10
1023593803 Sara Jeanette Farris Specialist/Technologist Athletic Training, 1 Cumberland Sq, Lebanon, TN 37087 2018-09-27
1164926937 Andrea Christine Morrisett Physical Therapist 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 2018-03-19
1932627882 Raina Kelly Tomlinson Nurse Practitioner 606 Lee Rd, Lebanon, TN 37087 2017-08-30
1942731492 Rocky Mountain Holdings, LLC Ambulance 760d Franklin Rd, Lebanon, TN 37087 2017-03-27
1326409285 Karina Lawrence Speech-Language Pathologist 1006 Keaton Street, Lebanon, TN 37087 2016-03-18
1174910491 Yehualashet Bekele Hailemariam Internal Medicine 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 2015-04-24
1043614829 Jean Thompson Behavior Analyst 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 2014-10-22
1588072771 La Keisha Fair Community Health Worker 1 Cumberland Square, Lebanon, TN 37087 2014-07-31
1023440609 James Martin Meadows Specialist/Technologist One Cumberland Square, Lebanon, TN 37087 2013-08-06
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Competitor

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City LEBANON
Zip Code 37087

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Dataset Information

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.

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