P Praxis·MD
● Active Type 1 · Individual

Tacquora Lashae Mixon, CMA,CNA

Custodial Care Facility·East Point, GA· NPI 1770306656 · Enumerated 2024 · 1 years on NPI
Mixon is 1 of 1 custodial care facility providers in East Point and 1 of 176 in Georgia.
NPI age
1 years
Enumerated 2024-11-07
Primary specialty
Custodial Care Facility
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-11-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 176 active custodial care facility providers in Georgia.

NPI age
1 years
↓ 8 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-11Enumerated in NPPES
2024 2026

Where they practice

Practice location
2882 Church St
East Point, GA 303443254
📞 4046928860
Mailing address
2882 Church St
East Point, GA 303443254
📞 4046928860

Specialties

  • Custodial Care Facility Primary
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    taxonomy 311ZA0620X
  • In Home Supportive Care
    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
    taxonomy 253Z00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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