Michelle S. Mix, FNP

Individual provider Active NPI Family Nurse Practitioner · College Dale, TN

NPI 1326319013 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1326319013
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
19827 (TN)
Practice address
4687 University Dr
College Dale, TN 37363-8472
Phone
(423) 236-2713
NPI assigned
Jan 26, 2012
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utm of Georgia Physicians LLC (14 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 204496-7MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Center Past
since Sep 8, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19827 TN Yes
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 names

  • Michelle Sanders Former name

Other providers in College Dale, TN

All providers in College Dale, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.