SHUNDALE THOMAS MIXON OD
NPI 1013403088
Optometrist in Suwanee, GA
About Shundale Thomas Mixon Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHUNDALE THOMAS MIXON OD (NPI 1013403088) is an individual optometrist in Suwanee, Georgia, licensed in Georgia (OPT003111) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shundale Thomas Mixon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUWANEE, GA 30024
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shundale Mixon's NPI number?
The NPI number for Shundale Mixon is 1013403088. It was assigned to this individual provider in the NPPES registry on July 2, 2018.
Where is Shundale Mixon located?
Shundale Mixon practices at 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024. The listed phone number is (334) 318-0713.
What is Shundale Mixon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Shundale Mixon enrolled in Medicare?
Yes. Shundale Mixon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Shundale Mixon accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Shundale Mixon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shundale Mixon was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shundale Thomas Mixon, OD · NPI 1013403088
Optometrist provider in Suwanee, Georgia. Individual provider, active in the CMS NPPES registry since July 2, 2018.
## Identity
- **NPI:** 1013403088 (Entity type: Individual)
- **Enumerated:** July 2, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT003111 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 PEACHTREE INDUSTRIAL BLVD STE 1206, Suwanee, GA 30024-4550
- **Phone:** (334) 318-0713
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Nova Southeastern Univ College Of Dental Medicine, class of 2018
## Record status
- **NPPES last updated:** October 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013403088) · Data from the CMS NPPES public registry.