Individual Healthcare Provider
Kenneth Paul Mitchell, MD
Provider's NPPES record last updated: January 12, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1477542850
- Primary Specialty
- Family Medicine — Obesity Medicine
- Practice Location
- Niceville, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 11:56 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Obesity Medicine
Allopathic & Osteopathic Physicians
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Taxonomy code 207QB0002X Obstetrics & Gynecology
Gynecology
Allopathic & Osteopathic Physicians
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Taxonomy code 207VG0400X
Provider-Reported License Information
- Family Medicine (Florida)
- ME48856
- Obstetrics & Gynecology (Florida)
- ME48856
Practice Locations
Practice Location
2600 Partin Dr N Ste 110
Niceville, Florida 32578-1543
Phone: (850) 517-6578
Additional Practice Location
910 Royce St
Pensacola, Florida 32503-2464
Phone: (850) 444-4997
Fax: (850) 444-4992
Record Information
- Enumeration Date
- October 18, 2005
- Provider's NPPES Record Last Updated
- January 12, 2021
- Certification Date
- January 12, 2021
- NPISignal NPPES Dataset
- August 2026
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