Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376037424 Individual Practitioner Male Practitioner

Phillip Dakotah Mitchell

Physician Assistant • Lr Afb, AR

Professional Overview & Biography Verified Profile Summary

Phillip Mitchell is a registered healthcare professional specializing in Physician Assistant in Lr Afb, AR. Practice services are available at 1090 ARNOLD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1090 Arnold Dr

Lr Afb, AR 720994933

Telephone 5019873080
Associated Practice Facility / Clinic
🏢 19th Medgrp-Little Rock Facility NPI 1073591830

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lr Afb, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lr Afb, AR (601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 025056

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Melrita Johnson , LCSW

Social Worker - Clinical

NPI 1013032754

Licensed Clinical Social Worker

Dr. Sharifa Freightman , PhD

Psychologist - Clinical

NPI 1023208667

Doctor of Philosophy (Ph.D.)

Dr. Jacob Rogier , DNP, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1043087455

Doctor of Nursing Practice, CPNPPC

Brittany King , NP

Nurse Practitioner - Family

NPI 1053962472

Nurse Practitioner

Donna Taylor , LCSW

Social Worker - Clinical

NPI 1164607297

Licensed Clinical Social Worker

Racheal Rivera , APN

Nurse Practitioner - Women's Health

NPI 1184137218

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location April 05, 2022

Registered at 1090 ARNOLD DR, LR AFB, AR 720994933 (Tel: 5019873080)

📍
Updated Business Mailing Address April 05, 2022

Registered at 1090 ARNOLD DR, LR AFB, AR 720994933 (Tel: 5019873080)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Physician Assistant (License #025056 in NY)

📍
Updated Practice Location June 03, 2020

Registered at 10020 EUPHRATES RIVER VALLEY ROAD, FORT DRUM, NY 13602 (Tel: 2707988400)

📍
Updated Business Mailing Address June 03, 2020

Registered at 11562B NORTHERN BLVD, FORT DRUM, NY 136033509

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Physician Assistant

NPI Profile Active June 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2018

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2707988400)

📍
Updated Business Mailing Address June 20, 2018

Registered at 305 HARBAUGH DR UNIT A, FORT CAMPBELL, KY 422233663

👤
Provider Name / Credentials Updated June 20, 2018

Recorded as PHILLIP MITCHELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1376037424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2018
Last Update: April 05, 2022
Sole Proprietor: No

Mailing Address

1090 Arnold Dr

Lr Afb, AR 720994933

Phone: 5019873080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.