MR. ROBERT DAVID MIXSON M.D.
NPI 1912904459
Specialist in Saint Marys, GA

NPI Status: Active since June 30, 2005

Contact Information

104 LAKESHORE DR
STE A
SAINT MARYS, GA
ZIP 31558
Phone: (912) 882-7100
Fax: (912) 882-9149

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About ROBERT MIXSON

This page provides the complete NPI Profile along with additional information for Robert Mixson, a provider established in Saint Marys, Georgia with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1912904459 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X with license number 039415 (GA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1912904459
Provider Name
MR. ROBERT DAVID MIXSON M.D.
Gender
Male
Entity Type
Individual
Location Address
104 LAKESHORE DR STE A SAINT MARYS, GA 31558
Location Phone
(912) 882-7100
Location Fax
(912) 882-9149
Mailing Address
104 LAKESHORE DR STE A SAINT MARYS, GA 31558
Mailing Phone
(912) 882-7100
Mailing Fax
(912) 882-9149
Is Sole Proprietor?
Yes
Enumeration Date
06-30-2005
Last Update Date
09-03-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
039415
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS Enrollment Status

Robert Mixson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 11 times for 11 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 24 times for 16 patients

Reviews for MR. ROBERT DAVID MIXSON M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912904459, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 8 + 0 + 8 + 4 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1912904459.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

104 LAKESHORE DR, SUITE B
SAINT MARYS, GA 31558
Community/Behavioral Health
104 LAKESHORE DR, SUITE D
SAINT MARYS, GA 31558
Counselor (Addiction (Substance Use Disorder))
104 LAKESHORE DR
SAINT MARYS, GA 31558
Counselor (Professional)
104 LAKESHORE DR, SUITE D
SAINT MARYS, GA 31558
Obstetrics & Gynecology
104 LAKESHORE DR, STE A
SAINT MARYS, GA 31558
Counselor (Professional)
104 LAKESHORE DR, STE D
SAINT MARYS, GA 31558
Advanced Practice Midwife
104 LAKESHORE DR, STE A
SAINT MARYS, GA 31558
Counselor (Professional)
104 LAKESHORE DR, SUITE D
SAINT MARYS, GA 31558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912904459, enumerated as an "individual" on June 30, 2005.

The provider is located at 104 LAKESHORE DR STE A SAINT MARYS, GA 31558 and the phone number is (912) 882-7100.

Specialist with taxonomy code 174400000X.