William Clay Mitchell Iii (NPI# 1245646587, PAC ID# 7810278512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245646587 |
| PAC ID by PECOS | 7810278512 |
| Professional Enrollment ID | I20190803000001 |
| Full Name | William Clay Mitchell Iii |
| Organization Legal Name | WT UNIVERSITY MEDICAL ASSOCIATES INC |
| Address |
294 Summar Dr Jackson TN 38301-3915 |
| Phone Number | 7314231932 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779824719 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 294 Summar Dr, Jackson, TN 38301-3915 | 7314231932 | WT UNIVERSITY MEDICAL ASSOCIATES INC |
| 620 Skyline Dr, Jackson, TN 38301-3923 | 7315416574 | EMERGENCY MEDICAL CARE FACILITIES PC |
| Organization Legal Name | WT UNIVERSITY MEDICAL ASSOCIATES INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Martin | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Breanna Peterson | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Beth Choby | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Anthony C Iwelunmor | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Elly K Riley | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| David L Maness | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Ruth E Baker | Obstetrics/gynecology | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Saurabh S Sachan | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Ammar Rahim | Emergency Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Jacob Robert Russell | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Street Address |
294 SUMMAR DR |
| City | JACKSON |
| State | TN |
| Zip | 38301-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Martin | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Breanna Peterson | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Beth Choby | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Anthony C Iwelunmor | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Elly K Riley | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| David L Maness | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Ruth E Baker | Obstetrics/gynecology | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Saurabh S Sachan | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Ammar Rahim | Emergency Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Jacob Robert Russell | Family Medicine | Wt University Medical Associates Inc | 294 Summar Dr, Jackson, TN 38301-3915 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lynn Scott | Family Practice | Lift Wellness Inc | 101 Jackson Walk Plaza, Jackson, TN 38301 |
| Abby L Mays | Registered Dietitian Or Nutrition Professional | Jackson Madison County General Hospital | 101 Jackson Walk Plz, Jackson, TN 38301-3008 |
| Jenna R Griffin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Katie A Johnson | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Conrado B Sioson | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Somer L Lambert | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Claude Joseph Pirtle | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Betsy Akin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Jaclyn A Bane | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Lindsay Barnett | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Find all physicians in zip 38301 | |||
| City | JACKSON |
| Zip Code | 38301 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William Clay Mitchell Iii.
| 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.