IndividualActive
Brandon Mitchell, PAC
NPI 1194092973 · Medical Physician Assistant · Jacksonville, FL
Provider details
- NPI number
- 1194092973
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA9106322 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
Street-level locationGet directions
Mailing address
Po Box 746638
Atlanta, GA 30374-6638
Additional practice locations (2)
- 1200 Riverplace BlvdSuite 620Jacksonville, FL 32207-9046Phone: (904) 396-6620Fax: (904) 396-6528
- 1926 10th Ave N Ste 105Lake Worth, FL 33461-3300Phone: (615) 345-5400Fax: (888) 468-6511
Registry dates
- Enumerated
- 2011-11-22
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.