Active NPI
Mixed Medical Media
Doing business as Dr Nosebetter
- Otolaryngology Physician
- Stockbridge, GA
National Provider Identifier
1912875402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MIXED MEDICAL MEDIA
- Doing business as
- Dr Nosebetter
- Practice address
- 1106 Hospital Dr
Stockbridge, GA 30281 - Phone
- (678) 902-9495
- Fax
- (678) 815-1548
- NPI assigned
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Fletcher
- Title
- Owner
- Phone
- (678) 902-9495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
1106 Hospital Dr
Stockbridge, GA 30281
Mailing address
1106 Hospital Dr
Stockbridge, GA 30281
Phone (678) 902-9495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003151504E | Medicaid | GA |
Other names 1
- Dr Nosebetter
National Provider Directory
National Provider Directory- Tax ID family
- Mixed Medical Media
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Stockbridge, GA
- NPI 1033090451
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Otolaryngology Physician
- Stockbridge, GA
- NPI 1033090451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1912875402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 HOSPITAL DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "678-902-9495",
"fax_number": "678-815-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 HOSPITAL DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "678-902-9495",
"fax_number": "678-815-1548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIXED MEDICAL MEDIA",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-902-9495"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003151504E",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Nosebetter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.