Active NPI
Andrew Carter Mixson, MD
- Surgery Physician
- Chapel Hill, NC
National Provider Identifier
1710727003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16271
- Practice address
- 170 Manning Drive Room B132, CB 7514
Chapel Hill, NC 27599-0002 - Phone
- (984) 974-7833
- NPI assigned
- May 25, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MIXS-3YY8IP | NC | |
| Surgery Physician | 208600000X | 16271 | GA | Primary |
Addresses
Primary practice location
170 Manning Drive Room B132, CB 7514
Chapel Hill, NC 27599-0002
Mailing address
1475 Laney Walker Blvd
Augusta, GA 30912-0002
Other practice location 1
1475 Laney Walker Blvd
Augusta, GA 30912-0002
Phone (706) 721-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260106002246 | NC | Order and Referring Only - Anesthesiology | 1759827645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16271 | GA | MD | Surgery Physician |
| MIXS-3YY8IP | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1710727003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 LANEY WALKER BLVD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MANNING DRIVE ROOM B132, CB 7514",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990002",
"telephone_number": "984-974-7833"
}
],
"practiceLocations": [
{
"address_1": "1475 Laney Walker Blvd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120002",
"country_code": "US",
"telephone_number": "706-721-7005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIXSON",
"first_name": "ANDREW",
"middle_name": "CARTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-25",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "MIXS-3YY8IP",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "16271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.