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KELLY PRINCE MIXON NP
NPI 1376121426
Nurse Practitioner - Family in Thomasville, GA

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
116 MIMOSA DR, THOMASVILLE, GA 31792(229) 584-5570(229) 551-8697 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2023, Mar 31, 2021 (2 updates tracked since 2021).

About Kelly Prince Mixon Np NPPES

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

KELLY PRINCE MIXON NP (NPI 1376121426) is an individual family provider in Thomasville, Georgia, licensed in Georgia (RN254729) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376121426
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY PRINCE MIXONCredential: NP
Location Address116 MIMOSA DRThomasville, GA 31792-6605
Mailing Address116 Mimosa DrThomasville, GA 31792-6605 · (229) 584-5570 · Fax (229) 551-8697
Phone(229) 584-5570
Fax(229) 551-8697
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2021
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1376121426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN254729
116 MIMOSA DR, Thomasville, GA 31792
Open in Google Maps ↗

Other Identifiers 1

Other056052474GA · Drivers License

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 and accepts Medicare assignment

Kelly Prince Mixon Np 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.

PECOS PAC ID1254735517
PECOS Enrollment IDI20210809001453
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services123 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Archbold Grady

Acute Care Hospitals · Cairo, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110121
Location1155 5th Street, SECairo, GA 39828 · Grady County
Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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 20

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

DR. JAMES ARTHUR HOLLAND M.D.
Internal Medicine (Hematology & Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 228-2970
JERRY STEVEN JOHNSON M.D.
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 228-2982
DR. DAVID ANDREW SAUNDERS M.D.
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 228-2982
RADIATION ONCOLOGISTS SOUTH EAST, P.C.
Radiology (Radiation Oncology)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 228-2982
SOUTH GEORGIA UROLOGY GROUP, P. C.
Urology
116 MIMOSA DR, SUITE 2
THOMASVILLE, GA 31792
Thomas County (229) 228-5500
MS. ALLEN R LYBROOK APRN,BC
Nurse Practitioner
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 226-5788
WILLIAM W ELLIS MD
Internal Medicine (Cardiovascular Disease)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 551-0083
JAMES S KARAS MD
Internal Medicine (Cardiovascular Disease)
116 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 551-0083

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 Kelly Mixon's NPI number?

The NPI number for Kelly Mixon is 1376121426. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Kelly Mixon located?

Kelly Mixon practices at 116 Mimosa Dr, Thomasville, GA 31792. The listed phone number is (229) 584-5570.

What is Kelly Mixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Mixon enrolled in Medicare?

Yes. Kelly 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 Kelly Mixon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly 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.

Is Kelly Mixon affiliated with any hospitals?

According to CMS data, Kelly Mixon is affiliated with Archbold Memorial, Archbold Grady and Memorial Hospital And Manor.

When was this NPI record last updated?

The NPPES record for Kelly Mixon was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.