DIANNE S MIXON PA-C
NPI 1245376573
Physician Assistant in Vidalia, GA

Active since January 30, 2007
1608 MEADOWS LN STE 1, VIDALIA, GA 30474(912) 537-9488(912) 537-8951 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dianne S Mixon Pa-c NPPES

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

DIANNE S MIXON PA-C (NPI 1245376573) is an individual physician assistant in Vidalia, Georgia, licensed in Georgia (000330) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1245376573
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDIANNE S MIXONCredential: PA-C
Location Address1608 MEADOWS LN STE 1Vidalia, GA 30474-9907
Mailing Address1608 Meadows Ln Ste 1Vidalia, GA 30474-9907 · (912) 537-9488 · Fax (912) 537-8951
Fax(912) 537-8951
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 20, 2010
NPI 1245376573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 000330
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1608 MEADOWS LN STE 1, Vidalia, GA 30474

Other Identifiers 3

Medicare ID-Type Unspecified97BBGCXGA
Medicare UPINN34071GA
Medicaid100001382AGA

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.

Internal Medicine
1608 MEADOWS LN STE 1
VIDALIA, GA 30474
Nurse Practitioner (Family)
1608 MEADOWS LN STE 1
VIDALIA, GA 30474
Internal Medicine
1608 MEADOWS LN STE 1
VIDALIA, GA 30474

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 Dianne Mixon's NPI number?

The NPI number for Dianne Mixon is 1245376573. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Dianne Mixon located?

Dianne Mixon practices at 1608 Meadows Ln Ste 1, Vidalia, GA 30474. The listed phone number is (912) 537-9488.

What is Dianne Mixon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Dianne Mixon was last updated on December 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.