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SHELLY MIXSON
NPI 1861664880
Dentist - General Practice in Austell, GA

Active since March 31, 2008
1133 E WEST CONNECTOR, AUSTELL, GA 30106(770) 333-9951(770) 333-9953 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelly Mixson NPPES

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

SHELLY MIXSON (NPI 1861664880) is a healthcare organization registered as a general practice in Austell, Georgia and active in the NPI registry since March 2008. The organization lists Shelly Mixson, Owner, as its authorized official.

NPPES Registry Identity

NPI1861664880
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHELLY MIXSON
Location Address1133 E WEST CONNECTORAustell, GA 30106-1589
Mailing Address1133 E West ConnectorAustell, GA 30106-1589 · (770) 333-9951 · Fax (770) 333-9953
Phone(770) 333-9951
Fax(770) 333-9953
Organization SubpartNo
Authorized OfficialShelly MixsonOwner · (770) 333-9951
Enumeration DateMarch 31, 2008
✔ NPI 1861664880 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 · DN012436
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.
1133 E WEST CONNECTOR, Austell, GA 30106
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Other Identifiers 2

Other9185964GA · Doral
Other101592GA · Avesis

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

WAL-MART STORES EAST, LP
Eyewear Supplier
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9300
EYEDEAL EYECARE LLC
Optometrist
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9421
DR. SONYA PATEL O.D.
Optometrist
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9421
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9500
BRIJESHBHAI PATEL
Pharmacist
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9500
HIRA OPTICAL LLC
Optometrist
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9421
JANIS JAMES SMITH
Optometrist
1133 E WEST CONNECTOR
AUSTELL, GA 30106
Cobb County (770) 863-9421
DR. DORIS SUNHEE PAE O.D.
Optometrist
1133 E WEST CONNECTOR, WAL-MART VISION CENTER
AUSTELL, GA 30106
Cobb County (404) 409-0754

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 Shelly Mixson's NPI number?

The NPI number for Shelly Mixson is 1861664880. It was assigned to this organization in the NPPES registry on March 31, 2008.

Where is Shelly Mixson located?

Shelly Mixson is located at 1133 E West Connector, Austell, GA 30106. The listed phone number is (770) 333-9951.

What is Shelly Mixson's specialty?

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

When was this NPI record last updated?

The NPPES record for Shelly Mixson was last updated on March 31, 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.