Healthcare Provider Details

I. General information

NPI: 1023938370
Provider Name (Legal Business Name): MITCHELL G JONES PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 6TH AVE S
BIRMINGHAM AL
35233-1932
US

IV. Provider business mailing address

2753 DRENNEN CIR
BIRMINGHAM AL
35242-4623
US

V. Phone/Fax

Practice location:
  • Phone: 205-862-8302
  • Fax:
Mailing address:
  • Phone: 205-862-8302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2904
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: