VANESSA MIXON (NPI# 1538700752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538700752 |
| Entity Type | Individual |
| Full Name | VANESSA MIXON |
| Practice Address |
138 Canal St Ste 506 Pooler GA 31322-4049 |
| Practice Telephone | 9124211890 |
| Mailing Telephone | 9124211890 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
010156 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 010156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279459 | Vanessa Renee Mixon | Nurse Practitioner | 3783 Wood Cir, Cocoa, FL 32926-4828 | 2020-09-08 |
| Street Address |
138 CANAL ST STE 506 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246199 | Vogt Family Group LLC | Counselor | 138 Canal St Ste 506, Pooler, GA 31322-4049 | 2019-07-05 |
| 1760029532 | Elizabeth Bevil | Counselor | 138 Canal St Ste 506, Pooler, GA 31322-4049 | 2019-11-29 |
| 1598306706 | Abby Mcgilvray | Counselor | 138 Canal St Ste 506, Pooler, GA 31322-4049 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700425964 | Tabria Jackson | Counselor | 5205 Addison Pl, Pooler, GA 31322-9482 | 2020-01-04 |
| 1780246199 | Vogt Family Group LLC | Counselor | 138 Canal St Ste 506, Pooler, GA 31322-4049 | 2019-07-05 |
| 1942751094 | Daysha Phimphone | Counselor | 184 Hamiton Grove Drive, Pooler, GA 31322 | 2016-10-24 |
| 1841665619 | Shaniqua Necheryl Harmon | Counselor | 1209 Roberts Way, Pooler, GA 31322-3340 | 2015-12-04 |
| 1790176576 | Diane J Gores | Counselor | 127 Lake House Rd, Pooler, GA 31322-9710 | 2015-02-14 |
| 1083010847 | Brenda Edenfield | Counselor | 1221 Dj's Way, Pooler, GA 31322-3339 | 2014-11-06 |
| 1649672510 | Alexis Mincey | Counselor | 255 Harmony Blvd, Pooler, GA 31322-3626 | 2014-09-22 |
| 1144591413 | Jennifer A Mcgee | Counselor | 1147 Hwy 80 W, Pooler, GA 31322-2203 | 2012-01-19 |
| 1679726665 | Durden Consulting Services, LLC | Counselor | 1145 West Highway 80, Suite J, Pooler, GA 31322-2200 | 2008-11-04 |
| 1760029532 | Elizabeth Bevil | Counselor | 138 Canal St Ste 506, Pooler, GA 31322-4049 | 2019-11-29 |
| Find all providers in POOLER | ||||
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| 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.