Michelle S Mix, FNP is a medicare enrolled "Nurse Practitioner - Family" in College Dale, Tennessee. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Utm Of Georgia Physicians Llc and her current practice location is
4687 University Dr, College Dale, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 236-2713.
Michelle S Mix is licensed to practice in Tennessee (license number 19827) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326319013.
Provider's Profile
| Full Name | Michelle S Mix |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 4687 University Dr, College Dale, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle S Mix graduated from nursing school in 2011
NPI Data:
- NPI Number: 1326319013
- Provider Enumeration Date: 01/26/2012
- Last Update Date: 09/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335302868
- Enrollment ID: I20260722003629
Medical Identifiers
Medical identifiers for Michelle S Mix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326319013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 19827 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R 204496-7 (Minnesota) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Utm Of Georgia Physicians Llc | 5991138307 | 14 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle S Mix is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michelle S Mix, FNP
Po Box 370,
Collegedale, TN 37315-0370
Ph: (423) 236-2713 | Michelle S Mix, FNP
4687 University Dr,
College Dale, TN 37363-8472
Ph: (423) 236-2713 |
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