KRISTOPHER G MIXON D.M.D.
NPI 1154419620
Dentist - General Practice in Macon, GA

Q: What is Kristopher Mixon's NPI number?

The NPI number for Kristopher Mixon is 1154419620. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Kristopher Mixon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kristopher Mixon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 10, 2006PECOS Enrolled

3432 MERCER UNIVERSITY DR, MACON, GA 31204(478) 755-8366(478) 755-8399 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristopher G Mixon D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTOPHER G MIXON D.M.D. (NPI 1154419620) is an individual general practice provider in Macon, Georgia, licensed in Georgia (13000) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154419620

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKRISTOPHER G MIXONCredential: D.M.D.

Location Address3432 MERCER UNIVERSITY DRMacon, GA 31204-4902

Mailing Address3432 Mercer University DrMacon, GA 31204-4902 · (478) 755-8366 · Fax (478) 755-8399

Phone(478) 755-8366

Fax(478) 755-8399

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154419620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · 13000

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3432 MERCER UNIVERSITY DR, Macon, GA 31204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristopher G Mixon D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE PETTERSON D.D.S.

Dentist (General Practice)

3432 MERCER UNIVERSITY DR
MACON, GA 31204

Bibb County (478) 755-8366

DENTAL CARE CENTER OF MACON, PC

Dentist

3432 MERCER UNIVERSITY DR
MACON, GA 31204

Bibb County (478) 755-8366

DR. ROBERT BRANDON O'BRIEN D.M.D.

Dentist

3432 MERCER UNIVERSITY DR
MACON, GA 31204

Bibb County (478) 755-8366

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 Kristopher Mixon's NPI number?

The NPI number for Kristopher Mixon is 1154419620. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Kristopher Mixon located?

Kristopher Mixon practices at 3432 Mercer University Dr, Macon, GA 31204. The listed phone number is (478) 755-8366.

What is Kristopher Mixon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kristopher Mixon enrolled in Medicare?

Yes. Kristopher Mixon is registered in the Medicare PECOS enrollment system.

What insurance does Kristopher Mixon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Kristopher 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 Kristopher Mixon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.