Individual provider Active NPI

Carol Renee' Mixon, F.N.P.

  • Family Nurse Practitioner
  • Hayesville, NC
National Provider Identifier
1013945997
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
150853 Issued in NC
Practice address
1 Riverside Cir
Hayesville, NC 28904-7946
Phone
(828) 389-8052
Fax
(828) 389-8533
NPI assigned
Jun 29, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 150853 NC Primary
Family Nurse Practitioner 363LF0000X RN077261 GA

Addresses

Primary practice location

1 Riverside Cir
Hayesville, NC 28904-7946

Mailing address

1 Riverside Cir
Hayesville, NC 28904-7946
Phone (828) 389-8052

Other names 1

  • Mrs. Carol Renee' Hagins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000756 NC Practitioner - Nurse Practitioner 0244250264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN077261GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County CurrentSince Aug 23, 2010 Accepting new patients
Clay County CurrentSince Aug 23, 2010 Accepting new patients
Murphy Medical Center Inc Current Accepting new patients
Murphy Medical Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Chatuge Regional Hospital Inc PastSince Sep 18, 2018 Accepting new patients
Murphy Medical Center Inc Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients

Locations

1 Riverside Cir
Hayesville, NC 28904
Phone (828) 389-8052

146 Hwy 64 E
Hayesville, NC 28904
Phone (828) 389-3608

2076 NC 69
Hayesville, NC 28904
Phone (828) 389-1617

345 Courthouse Dr
Hayesville, NC 28904
Phone (828) 389-8052

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

183 Ledford St
Murphy, NC 28906
Phone (828) 835-4692

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1013945997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289047946",
            "telephone_number": "828-389-8052",
            "fax_number": "828-389-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289047946",
            "telephone_number": "828-389-8052",
            "fax_number": "828-389-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "CAROL",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "150853",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN077261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "HAGINS",
            "middle_name": "RENEE'",
            "prefix": "MRS.",
            "credential": "F.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayesville, NC

Sources for this page

Verify at the official NPI Registry.