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

Mitchell Dean Ingram

Individual provider Certified Registered Nurse Anesthetist · NPI 1609446145

Mitchell Dean Ingram is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, South Carolina. Qualified in 2021, 5 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama, California and South Carolina.

Years since qualifying
5
Licensed in
AL, CA, SC
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 809 University Blvd E, Tuscaloosa, AL 35401-2029 — (205) 759-7111
  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (800) 926-8273

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26577 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1-145380 (AL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95001586 (CA)

Record details

NPI number1609446145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2021
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenville