Stephen John Mixon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO12775 Issued in GA

Practice address

6501 Peake Rd
BLDG 600
Macon, GA 31210-8042

Phone

(478) 477-7101

Fax

(478) 477-1728

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942396155",
    "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": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO12775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Mitchell, NP
• Sarah Rose Mitchum, FNP-C
• John William Mix, M.D.
• George Richard Mixon, DDS
• Kristopher G Mixon, D.M.D.
• Candace Cherie Mize, APRN
• Tricia Marie Mizell, R.T. (R) (ARRT)
• MKM Therapy Services, LLC
• Lisa Lasseter Mobley, LMFT
• Tabra J. Mobley, RBT

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.