Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Donna Grimsley Mizelle, MD

Individual provider Family Medicine Physician · NPI 1760427678

Dr. Donna Grimsley Mizelle, MD is a Family Practice in Pinewood, South Carolina. Graduated from Brody School of Medicine at East Carolina University in 2000, 26 years ago. Practices with Tandem Health SC, a 32-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
26
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25 E Clark St
Pinewood, SC 29125
Phone: (803) 774-4500
Fax: (803) 452-5712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22449 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200300669 (NC)

Record details

NPI number1760427678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Tandem Health Sc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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