Active NPI
Michelle S. Mix, FNP
- Family Nurse Practitioner
- Collegedale, TN
National Provider Identifier
1326319013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19827
- Practice address
- 4687 University Dr
College Dale, TN 37363-8472 - Phone
- (423) 236-2713
- NPI assigned
- Jan 26, 2012
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R 204496-7 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Center | Past | 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.
-
- Family Medicine Physician
- Fort Oglethorpe, GA
- NPI 1255893038
-
dba Southern Adventist University
- Student Health Clinic/Center
- Ooltewah, TN
- NPI 1487203196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.