NPI age
18 years
Enumerated 2008-03-31
● Active Type 2 · Organization
Shelly Mixson
Shelly Mixson is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mixson
Owner
Last NPPES update
2008-03-31
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1133 E West Connector
Austell, GA 301061589
Mailing address
1133 E West Connector
Austell, GA 301061589
Authorized official
Shelly Mixson, D.M.D
Owner
📞 7703339951
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Doris Pae, O.D. Optometrist NPI 1952469785
- Brijeshbhai Patel Pharmacist NPI 1326648742
- Sonya Patel, O.D. Optometrist NPI 1114379492
- Janis Smith Optometrist NPI 1710412473
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 101592 | AVESIS |
| 01 (GA) | 9185964 | DORAL |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.