George Richard Mixon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7776 Issued in GA

Practice address

6501 Peake Rd
BLDG 600
Macon, GA 31210-8042

Phone

(478) 477-7101

Fax

(478) 477-1728

NPI assigned

Dec 28, 2007

Last updated

Dec 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1588848360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BLDG 600",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-477-7101",
            "fax_number": "478-477-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BLDG 600",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-477-7101",
            "fax_number": "478-477-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "7776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrett Daniel Mitchell, FNP-C
• Molly Rebecca Mitchell, NP
• Shannon Nicole Mitchell, NP
• Sarah Rose Mitchum, FNP-C
• John William Mix, M.D.
• Kristopher G Mixon, D.M.D.
• Stephen John Mixon, DMD
• Candace Cherie Mize, APRN
• Tricia Marie Mizell, R.T. (R) (ARRT)
• MKM Therapy Services, LLC

• Dentist in Macon, GA
• Providers in Macon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.