NPI
Gerry Dewayne Mitchell
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- D.C.
- Type
- Individual
- Enumeration date
- 2009-08-28
- Last updated
- 2026-08-18
Specialties
Licenses
- License MO
- 2009026117
Location
- Practice location
- 119 E Springfield St
- City
- Saint James MO
- Postal code
- 65559-1646
- Phone
- (573) 265-0310
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Saint James, MO. 106 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.