DR. SAMANTHA ALECIA MIX-SOUTHER MD
NPI 1063816684
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI
About Dr. Samantha Alecia Mix-souther Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMANTHA ALECIA MIX-SOUTHER MD (NPI 1063816684) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4301110346) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Samantha Alecia Mix-souther Md 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
KALAMAZOO, MI 49008
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 Samantha Mix-souther's NPI number?
The NPI number for Samantha Mix-souther is 1063816684. It was assigned to this individual provider in the NPPES registry on October 9, 2014.
Where is Samantha Mix-souther located?
Samantha Mix-souther practices at 1000 Oakland Dr, Kalamazoo, MI 49008. The listed phone number is (269) 337-4400.
What is Samantha Mix-souther's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Mix-souther enrolled in Medicare?
Yes. Samantha Mix-souther 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.
When was this NPI record last updated?
The NPPES record for Samantha Mix-souther was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Samantha Alecia Mix-Souther, MD · NPI 1063816684
Student in an Organized Health Care Education/Training Program provider in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since October 9, 2014.
## Identity
- **NPI:** 1063816684 (Entity type: Individual)
- **Enumerated:** October 9, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4301110346 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 OAKLAND DR, Kalamazoo, MI 49008-1282
- **Phone:** (269) 337-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063816684) · Data from the CMS NPPES public registry.