Active NPI
Malissa Nix, P.A.
- Surgical Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4680
- Practice address
- 4425 Paulsen St
Savannah, GA 31405-3637 - Phone
- (912) 525-1314
- Fax
- (912) 354-5970
- NPI assigned
- Jun 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4680 | GA | Primary |
Addresses
Primary practice location
4425 Paulsen St
Savannah, GA 31405-3637
Mailing address
4425 Paulsen St
Savannah, GA 31405-3637
Phone (912) 525-1314
Other practice location 1
459 Highway 119 S
Springfield, GA 31329-3021
Phone (912) 754-0175
Other practice location 2
101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027147597B | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1203 Gandy Dancer
Richmond Hill, GA 31324-8895
Phone (912) 355-6615
20 William Blakely Xing
Pooler, GA 31322-7043
Phone (912) 355-6615
4425 Paulsen St
Savannah, GA 31405-3637
4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615
4425 Paulsen St
Savannah, GA 31405-3663
4425 Paulsen St B
Savannah, GA 31405-3663
Phone (912) 355-6615
Hospital & facility affiliations
- Effingham Health System
- St Joseph'S Hospital - Savannah
- Candler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84 of 100
- Quality
- 65.06
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 83.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4680 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chatham Orthopaedic Associates, PA | Current | Accepting new patients | |
| Chatham Orthopaedic Associates, PA | Current | Accepting new patients |
Locations
20 William Blakely Xing
Pooler, GA 31322
101 Saint Josephs Candler Dr
Fl First
Pooler, GA 31322
101 Saint Josephs Candler Dr
Fl 1
Pooler, GA 31322
Phone (912) 351-6615
1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651
613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111
613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
4425 Paulsen St
Bldg B
Savannah, GA 31405
4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820
5353 Reynolds St
#4
Savannah, GA 31405
1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100
4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100
459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200
Interoperability endpoints
- malissa.nix.2@18355.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Savannah, GA
- NPI 1366495814
-
- Orthopaedic Surgery Physician
- Rincon, GA
- NPI 1013459551
-
- Orthopaedic Surgery Physician
- Pooler, GA
- NPI 1598153900
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1508093287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 PAULSEN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053637",
"telephone_number": "912-525-1314",
"fax_number": "912-354-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 PAULSEN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314053637",
"telephone_number": "912-525-1314",
"fax_number": "912-354-5970"
}
],
"practiceLocations": [
{
"address_1": "459 Highway 119 S",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "GA",
"postal_code": "313293021",
"country_code": "US",
"telephone_number": "912-754-0175",
"fax_number": "912-754-6395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 St Josephs Candler Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Pooler",
"state": "GA",
"postal_code": "313229579",
"country_code": "US",
"telephone_number": "912-355-6615",
"fax_number": "912-351-0645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIX",
"first_name": "MALISSA",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "4680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027147597B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.