VANESSA MIXON
NPI 1538700752
Counselor - Professional in Pooler, GA
About Vanessa Mixon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANESSA MIXON (NPI 1538700752) is an individual professional provider in Pooler, Georgia, licensed in Georgia (010156) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vanessa Mixon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Vanessa Mixon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Vanessa Mixon's NPI number?
The NPI number for Vanessa Mixon is 1538700752. It was assigned to this individual provider in the NPPES registry on September 30, 2019.
Where is Vanessa Mixon located?
Vanessa Mixon practices at 138 Canal St Ste 506, Pooler, GA 31322. The listed phone number is (912) 421-1890.
What is Vanessa Mixon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Vanessa Mixon enrolled in Medicare?
Yes. Vanessa Mixon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Vanessa Mixon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Mixon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vanessa Mixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vanessa Mixon accept?
Health plans from UnitedHealthcare list Vanessa 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 Vanessa Mixon was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Vanessa Mixon · NPI 1538700752
Professional provider in Pooler, Georgia. Individual provider, active in the CMS NPPES registry since September 30, 2019.
## Identity
- **NPI:** 1538700752 (Entity type: Individual)
- **Enumerated:** September 30, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 010156 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 138 CANAL ST STE 506, Pooler, GA 31322-4049
- **Phone:** (912) 421-1890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2019
- **Other identifiers:** Other 010156 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1538700752) · Data from the CMS NPPES public registry.