Charles M. Mixson, M.D.

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

License

052997 Issued in GA

Practice address

150 Nacoochee Ave
Athens, GA 30601-1823

Phone

(706) 546-7908

Fax

(706) 546-1944

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

Medical College of Georgia School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT of Athens, LLCGroup PAC ID 8426129412, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
• St Mary'S Hospital Hospital, Athens, GA, CCN 110006
• St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.mixson@entathens.gadirect.net

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

• ENT of Athens, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Athens, GA
  • NPI 1598822280

  GA, Otolaryngology/Facial Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Georgia Hearing Center

  • Audiologist
  • Athens, GA
  • NPI 1275675050
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111

  Hospital

  Care Compare affiliation
• St. Mary'S Good Samaritan Hospital, Inc.

  • Critical Access Hospital
  • Greensboro, GA
  • NPI 1346209137

  Hospital

  Care Compare affiliation
• St. Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1871556621

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1053490342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NACOOCHEE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011823",
            "telephone_number": "706-546-7908",
            "fax_number": "706-546-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NACOOCHEE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011823",
            "telephone_number": "706-546-7908",
            "fax_number": "706-546-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXSON",
        "first_name": "CHARLES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "GA",
            "license": "052997",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "052997",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "GA",
            "license": "052997",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "052997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA. STATE LICENSE",
            "identifier": "052997",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Marie Miranda, LPC
• Jana Adams Mitcham, M.ED. SLP-CFY
• Mitchell Bridge Dental Association
• Mitchell Bridge Dental II
• Brian Wesley Mitchell, M.D.
• Meaghan Ann Mize, PA-C
• Nicholas Mize, RPH
• Amanda Leigh Mizenis, MCD, CCC-SLP
• Kevin Michael Mobbs, PT, DPT, DN
• Mobility Repair Medical

• All providers in Athens, GA
• Sleep Medicine (Otolaryngology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.