Tarisha Renee Mixon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.205942 Issued in LA

Practice address

3401 North Blvd
Ste 200-a
Baton Rouge, LA 70806-3743

Phone

(225) 387-0851

Fax

(225) 383-8477

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Emory University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Merit-based Incentive Payment System (MIPS)

Final score

86.02 of 100Reported as group

Quality

74.57

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baton Rouge General Physicians, Inc.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1992729560

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment NPD
• Baton Rouge General Physicians, Inc.

  • Family Medicine Physician
  • Denham Springs, LA
  • NPI 1891124822
  NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baton Rouge General Medical Center

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1184648651

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1679096416

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1962537407
  Care Compare affiliation

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1982915195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTH BLVD",
            "address_2": "STE 200-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063743",
            "telephone_number": "225-387-0851",
            "fax_number": "225-383-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "TARISHA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "295588YNB7",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110454",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Major Joseph Mittendorf, PA-C
• Carrie Banta Mix, CPHT
• Candice Mixon
• Danielle S Mixon, OT
• Samantha Elizabeth Mixon, SLP
• Charity Mkoji
• ML Express Transportation
• Mmo Jennings, LLC
• Mobile Medical Innovations of Louisiana DME LLC
• Mobile Medical Lab Services

• Family Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.