Carol Renee' Mixon, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Hayesville, NC
NPI 1013945997 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1013945997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 150853 (NC)
- Practice address
- 1 Riverside Cir
Hayesville, NC 28904-7946 - Phone
- (828) 389-8052
- Fax
- (828) 389-8533
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051205000756 | NC | Practitioner - Nurse Practitioner | 0244250264 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN077261 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murphy Medical Center, Inc. | Current |
Accepting new patients | |
| Clay County | Current |
Accepting new patients | |
| Murphy Medical Center, Inc. | Current |
Accepting new patients | |
| Murphy Medical Center Inc | Current | Accepting new patients | |
| Clay County | Current |
Accepting new patients | |
| Chatuge Regional Hospital Inc | Past |
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
345 Courthouse Dr
Hayesville, NC 28904
Phone (828) 389-8052
2076 NC 69
Hayesville, NC 28904
Phone (828) 389-1617
146 Hwy 64 E
Hayesville, NC 28904
Phone (828) 389-3608
75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741
183 Ledford St
Murphy, NC 28906
Phone (828) 837-4712
145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 150853 | NC | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000802062E | Medicaid | GA | |
| 5902096 | Medicaid | NC |
Other names
- Mrs. Carol Renee' Hagins
Other providers in Hayesville, NC
- Kalyn Marie Martin
- Jillian V. McCoy
- Linda P McKeever
- Jessica Wikstrom McLamb
- Meadow Waves
- Michaela Monk
- Keisha Moss-Betteridge
- Katlyn Rose Moss
- Mountain Home Health Services, LLC
- Mountain Home Nursing Service, Inc.
All providers in Hayesville, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.