Mixed Medical Media

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MIXED MEDICAL MEDIA

Practice address

1106 Hospital Dr
Stockbridge, GA 30281-6381

Phone

(678) 902-9495

Fax

(678) 815-1548

NPI assigned

Sep 11, 2025

Organization subpart

Yes

Parent organization

MIXED MEDICAL MEDIAAs reported in NPPES

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

Authorized official

Name

Aaron Michael Fletcher Sr., MD

Title

Owner

Phone

(678) 902-9495

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mixed Medical Media2 organizations share this tax ID, including this one

Part of

Mixed Medical Media

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mixed Medical Media

  • Otolaryngology Physician
  • Stockbridge, GA
  • NPI 1912875402
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mixed Medical Media

  • Otolaryngology Physician
  • Stockbridge, GA
  • NPI 1912875402
  NPPES parent name

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033090451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-902-9495",
            "fax_number": "678-815-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816381",
            "telephone_number": "678-902-9495",
            "fax_number": "678-815-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIXED MEDICAL MEDIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIXED MEDICAL MEDIA",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-902-9495",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151504E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Celithia Mitchell, CRNA
• Felicia M Mitchell, PHARMD
• Jonathan Mitchell, CRNA
• Naomi Bianca Mitchell, M.S., R.D., L.D.
• Rhonda Copenny Mitchell
• Mixed Medical Media
• MK in Home Care Services
• MND Diagnostic Solutions LLC
• Mobile Medical Eye Care LLC
• Mobility Warehouse

• Otolaryngology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.