Shundale Mixon, OD
NPI 1013403088 · Optometrist · Suwanee, GA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shundale Mixon, OD is a Optometrist provider in Suwanee, GA (NPI 1013403088).
Provider details
- NPI number
- 1013403088
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPT003111 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$327 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 8400 Holcomb Bridge Rd Ste 440Alpharetta, GA 30022-1837Phone: (636) 200-4393
- 2900 Peachtree Rd Nw Ste 301Atlanta, GA 30305-2193Phone: (636) 200-4393
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Shundale Mixon's NPI number?
- Shundale Mixon's National Provider Identifier (NPI) is 1013403088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shundale Mixon's specialty?
- Shundale Mixon is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Shundale Mixon located?
- Shundale Mixon's practice location on file with NPPES is 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550.
- What is Shundale Mixon's phone number?
- The practice phone number listed in the NPPES registry for Shundale Mixon is (334) 318-0713.
- Does Shundale Mixon accept Medicare?
- Shundale Mixon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shundale Mixon's NPI active?
- Yes — Shundale Mixon's NPI (1013403088) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.