Tamatha Bowers Mixson, RN-BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

235024 Issued in SC

Practice address

768 Main St E
Fairfax, SC 29827-8756

Phone

(803) 686-1524

NPI assigned

Apr 30, 2019

Sex

Female

Sole proprietor

Yes

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1740844299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 MAIN ST E",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298278756",
            "telephone_number": "803-686-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 MAIN ST E",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298278756",
            "telephone_number": "803-686-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXSON",
        "first_name": "TAMATHA",
        "middle_name": "BOWERS",
        "name_prefix": "Mrs.",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "235024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenika L. Marshall-Hill
• Janet M McKissick, MD
• Baxter McLendon, M.D.
• Myecha Lashawn Miley
• Mindshifters Solution LLC
• Marie Moore
• Jonathan Murdaugh
• James Robert Mynatt, FNP
• Alexis Noll
• Roger Eugene Nunn, MD

• All providers in Fairfax, SC
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.