1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

MS. SUSAN PEE MIXON NPC
NPI 1548213226
Nurse Practitioner - Family in Jackson, MS

Active since May 17, 2006
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MED, JACKSON, MS 39216(601) 815-5670(601) 984-6870 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Susan Pee Mixon Npc NPPES

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

MS. SUSAN PEE MIXON NPC (NPI 1548213226) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R784973) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1548213226
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SUSAN PEE MIXONCredential: NPC
Location Address2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MEDJackson, MS 39216
Mailing AddressPo Box 24146, University Physicians PllcJackson, MS 39225-4146 · (601) 815-5047 · Fax (601) 815-9596
Phone(601) 815-5670
Fax(601) 984-6870
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 20, 2008
✔ NPI 1548213226 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 MS · R784973
2500 NORTH STATE STREET, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified500002099MS
Medicare UPINQ13370
Medicare PIN512I500046MS
Medicaid06370000MS
Medicare ID-Type Unspecified500001469MS

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.

MR. BRADFORD STEELE MARTIN FNP-C
Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Hinds County (601) 815-3045
EMILY BRUMFIELD NP
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5500
KIMBERLY C. COVINGTON TARVER MD
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Hinds County (601) 984-6426
MR. MARCELO EDUARDO RAINS M.D.
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. CELSO E. GOMEZ-SANCHEZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5525
MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 815-4128
DR. KENNETH R. BENNETT MD
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5678
DR. GUY DOUGLAS CAMPBELL MD
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Hinds County (601) 984-5650

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 Susan Mixon's NPI number?

The NPI number for Susan Mixon is 1548213226. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Susan Mixon located?

Susan Mixon practices at 2500 North State Street Department Of Medicine Division Of Gen Internal Med, Jackson, MS 39216. The listed phone number is (601) 815-5670.

What is Susan Mixon's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Mixon was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.