Individual provider Active NPI

Michelle S. Mix, FNP

  • Family Nurse Practitioner
  • Collegedale, TN
National Provider Identifier
1326319013
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19827 Issued in TN
Practice address
4687 University Dr
College Dale, TN 37363-8472
Phone
(423) 236-2713
NPI assigned
Jan 26, 2012
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 19827 TN Primary
Family Nurse Practitioner 363LF0000X R 204496-7 MN

Addresses

Primary practice location

4687 University Dr
College Dale, TN 37363-8472

Mailing address

PO Box 370
Collegedale, TN 37315-0370
Phone (423) 236-2713

Other practice location 1

1206 Pointe Centre Dr Ste 230
Chattanooga, TN 37421-4094
Phone (844) 893-0012

Other names 1

  • Michelle Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utm of Georgia Physicians LLCGroup PAC ID 5991138307, 14 clinicians

Practice addresses (Care Compare)

1209 W Walnut Ave
Suite 1
Dalton, GA 30720-3961
Phone (706) 459-3572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 204496-7MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Center PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 2

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1326319013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "373150370",
            "telephone_number": "423-236-2713",
            "fax_number": "423-236-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 UNIVERSITY DR",
            "city": "COLLEGE DALE",
            "state": "TN",
            "postal_code": "373638472",
            "telephone_number": "423-236-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Pointe Centre Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214094",
            "country_code": "US",
            "telephone_number": "844-893-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIX",
        "first_name": "MICHELLE",
        "middle_name": "S.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19827",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 204496-7",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SANDERS",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collegedale, TN

Sources for this page

Verify at the official NPI Registry.