Individual provider Active NPI

Janet Beecham Mixson, L.AC., DOM

  • Acupuncturist
  • Saint Marys, GA
National Provider Identifier
1619067923
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000171 Issued in GA
Practice address
2300 Saint Marys Rd Ste a
Saint Marys, GA 31558-4284
Phone
(912) 882-1200
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2136 FL
Acupuncturist 171100000X 000171 GA Primary

Addresses

Primary practice location

2300 Saint Marys Rd Ste a
Saint Marys, GA 31558-4284

Mailing address

1033 Greenwillow Dr
Saint Marys, GA 31558-4147
Phone (912) 882-8877

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP2136FLMDAcupuncturist
000171GAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1619067923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 GREENWILLOW DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584147",
            "telephone_number": "912-882-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SAINT MARYS RD STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584284",
            "telephone_number": "912-882-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXSON",
        "first_name": "JANET",
        "middle_name": "BEECHAM",
        "name_prefix": "Ms.",
        "credential": "L.AC., DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2136",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.