Active NPI
Mixed Medical Media
- Otolaryngology Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
- Last updated
- Sep 11, 2025
- Organization subpart
- Yes
- Parent organization
- MIXED MEDICAL MEDIA
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
1106 Hospital Dr
Stockbridge, GA 30281-6381
Mailing address
1106 Hospital Dr
Stockbridge, GA 30281-6381
Phone (678) 902-9495
National Provider Directory
National Provider Directory- Tax ID family
- Mixed Medical Media
- 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.
Ownership & related parties
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.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Stockbridge, GA
- NPI 1699972018
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- 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.