DR. CHARLES M. MIXSON (NPI# 1053490342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053490342 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M. MIXSON |
| Credential | M.D. |
| Practice Address |
150 Nacoochee Ave Athens GA 30601-1823 |
| Practice Telephone | 7065467908 |
| Practice Fax Number | 7065461944 |
| Mailing Telephone | 7065467908 |
| Mailing Fax Number | 7065461944 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
052997 | GA | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
052997 | GA | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
052997 | GA | Allopathic & Osteopathic Physicians |
| Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
052997 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA. STATE LICENSE | 052997 | 01 |
| Street Address |
150 NACOOCHEE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868365 | Philip Anderson Sheffield | Specialist | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2005-08-11 |
| 1356950810 | Erin Steele | Audiologist | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2020-07-30 |
| 1750864732 | Haley Taylor Peeples | Physician Assistant | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2018-09-14 |
| 1326561846 | Allison Morton | Audiologist | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2017-07-18 |
| 1184060337 | Christian H Barnes | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2013-05-15 |
| 1437469947 | Kirstin Cox Luffler | Audiologist | 150 Nacoochee Ave, Athens, GA 30601 | 2010-10-18 |
| 1144545096 | Blake Steven Kimbrell | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2010-04-05 |
| 1063746709 | Charles M. Mixson, M.d., P.C. | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2009-09-29 |
| 1780844639 | Elizabeth Hoddeson Katz | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2008-06-13 |
| 1619137981 | Philip A Sheffield Md PC | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 207YS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Sleep Medicine |
| An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063746709 | Charles M. Mixson, M.d., P.C. | Otolaryngology | 150 Nacoochee Ave, Athens, GA 30601-1823 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134696115 | Augusta Sleep Study Solutions, LLC | Otolaryngology | 3035 Park Ave, Augusta, GA 30909-3033 | 2018-10-29 |
| 1992701064 | Hamilton S Dixon | Otolaryngology | 3268 Martha Berry Hwy Ne, Rome, GA 30165-7712 | 2005-06-23 |
Please comment or provide details below to improve the information on DR. CHARLES M. MIXSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.