OrganizationActive
Shelly Mixson
NPI 1861664880 · General Practice Dentistry · Austell, GA
Shelly Mixson is a General Practice Dentistry organization in Austell, GA (NPI 1861664880).
Provider details
- NPI number
- 1861664880
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shelly Mixson, Owner(770) 333-9951
- License
- DN012436 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1133 E West Connector
Austell, GA 30106-1589
Phone: (770) 333-9951
Fax: (770) 333-9953
Approximate (ZIP-level) locationGet directions
Mailing address
1133 E West Connector
Austell, GA 30106-1589
Registry dates
- Enumerated
- 2008-03-31
- Last updated
- 2008-03-31
Frequently asked questions
- What is Shelly Mixson's NPI number?
- Shelly Mixson's National Provider Identifier (NPI) is 1861664880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shelly Mixson?
- Shelly Mixson is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shelly Mixson located?
- Shelly Mixson's practice location on file with NPPES is 1133 E West Connector, Austell, GA 30106-1589.
- What is Shelly Mixson's phone number?
- The practice phone number listed in the NPPES registry for Shelly Mixson is (770) 333-9951.
- Who is the authorized official for Shelly Mixson?
- The authorized official listed on Shelly Mixson's NPPES record is Shelly Mixson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shelly Mixson's NPI active?
- Yes — Shelly Mixson's NPI (1861664880) is active in the NPPES registry as of the last update on 2008-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.