Shelly Mixson
Shelly Mixson is a healthcare organization registered as General Practice Dentistry in Austell, GA, holding Type 2 (organization) NPI 1861664880 since 2008. The authorized official on file is Shelly Mixson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861664880 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shelly Mixson |
| Practice address | 1133 E WEST CONNECTOR, Austell, GA, 30106 |
| Phone | 7703339951 |
| Fax | 7703339953 |
| Enumeration date | 2008-03-31 |
| Last updated in NPPES | 2008-03-31 |
Authorized official
| Name | Shelly Mixson |
|---|---|
| Title | Owner |
| Phone | 7703339951 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DN012436 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101592 | Other | GA | AVESIS |
| 9185964 | Other | GA | DORAL |
Copy-ready billing details
Provider: Shelly Mixson NPI: 1861664880 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1133 E WEST CONNECTOR, Austell, GA, 30106
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154349629 | Wal-Mart Stores East Lp | Organization | Community/Retail Pharmacy | Austell, GA |
| 1023190162 | Wal-Mart Stores East, Lp | Organization | Eyewear Supplier | Austell, GA |
| 1952469785 | Doris Pae | Individual | Optometrist | Austell, GA |
| 1114379492 | Sonya Patel | Individual | Optometrist | Austell, GA |
| 1710412473 | Janis Smith | Individual | Optometrist | Austell, GA |
| 1093361404 | Eyedeal Eyecare LLC | Organization | Optometrist | Austell, GA |
| 1326648742 | Brijeshbhai Patel | Individual | Pharmacist | Austell, GA |
| 1417665324 | Hira Optical LLC | Organization | Optometrist | Austell, GA |
Verify this record
Cross-check NPI 1861664880 against the authoritative CMS record: view Shelly Mixson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Shelly Mixson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-31.