Tarisha R Mixon (NPI# 1982915195, PAC ID# 1951543636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982915195 |
| PAC ID by PECOS | 1951543636 |
| Professional Enrollment ID | I20130808000458 |
| Full Name | Tarisha R Mixon |
| Organization Legal Name | BATON ROUGE GENERAL PHYSICIANS INC |
| Address |
610 N Jefferson Ave Baton Rouge General Physicians Family Medicine Port Allen LA 70767-2414 |
| Phone Number | 2252676626 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193623643 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190065 | BATON ROUGE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3401 N Blvd, Suite 400, Baton Rouge, LA 70806-3743 | 2253870851 | BATON ROUGE GENERAL PHYSICIANS INC |
| 3824 Ne Evangeline Thruway, Carencro, LA 70520-5966 | 3375652675 | LOURDES AFTER HOURS LLC |
| 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 | 2252676626 | BATON ROUGE GENERAL PHYSICIANS INC |
| Organization Legal Name | BATON ROUGE GENERAL PHYSICIANS INC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marykutty Thomas | Family Medicine | Baton Rouge General Physicians Inc | 9241 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-2971 |
| Stephen P. Mcculloh | Family Medicine | Baton Rouge General Physicians Inc | 13960 Florida Blvd, Livingston, LA 70754-6340 |
| April H Mcculloh | Family Medicine | Baton Rouge General Physicians Inc | 1286 Del Este Ave, Denham Springs, LA 70726-4898 |
| Philip Padgett | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Timothy A Bella | Family Medicine | Baton Rouge General Physicians Inc | 8333 Goodwood Blvd, Baton Rouge, LA 70806-7744 |
| Vincent T Nguyen | Family Medicine | Baton Rouge General Physicians Inc | 17520 Old Jefferson Hwy, Suite B, Prairieville, LA 70769-3911 |
| Brad J Gaspard | Family Medicine | Baton Rouge General Physicians Inc | 8595 Picardy Ave, Suite 100, Baton Rouge, LA 70809-3674 |
| Alicia C Taylor | Obstetrics/gynecology | Baton Rouge General Physicians Inc | 3401 N Blvd, Suite 400, Baton Rouge, LA 70806-3743 |
| Kristen Watts Ducote | Family Medicine | Baton Rouge General Physicians Inc | 17520 Old Jefferson Hwy, Suite B, Prairieville, LA 70769-3911 |
| Jo A Barrios | Obstetrics/gynecology | Baton Rouge General Physicians Inc | 8595 Picardy Ave, Suite 320, Baton Rouge, LA 70809-3675 |
| Street Address |
610 N JEFFERSON AVE BATON ROUGE GENERAL PHYSICIANS FAMILY MEDICINE |
| City | PORT ALLEN |
| State | LA |
| Zip | 70767-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Padgett | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Amanda Watts | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Henry C Dixon Iii | Internal Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Kirby D Humbles | Nurse Practitioner | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Steven T Gremillion | Cardiovascular Disease (cardiology) | Our Lady of The Lake Physician Group LLC | 610 N Jefferson Ave, Louisiana Cardiology Associates, Port Allen, LA 70767-2414 |
| Kayla Mouch Richoux | Nurse Practitioner | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Henry Young Jr. | Family Practice | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Anne Guedry | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Jennifer S Berthelot | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Nicholas Cicero Iv | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Clint A Caballero | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Santhosh K Reddy | Internal Medicine | 970 N Alexander Ave, Port Allen, LA 70767-2121 | |
| Radhiya K Lewis | Nurse Practitioner | Louisiana Department of Health - Office of Public Health | 685 Louisiana Ave, Port Allen, LA 70767-2144 |
| William Dane Owens | Chiropractic | 751 Court St, Port Allen, LA 70767-2635 | |
| George T Mcknight | Internal Medicine | Primary Care Providers for A Healthy Feliciana Inc. | 203 Allendale Dr, Port Allen, LA 70767-3219 |
| Nicole M Fabre | Physical Therapy | 4171 Hwy 1 S, Suite 10, Port Allen, LA 70767-5822 | |
| Dennis L Surratt | Optometry | 3255 La Hwy 1 S, Port Allen, LA 70767-5858 | |
| Find all physicians in zip 70767 | |||
| City | PORT ALLEN |
| Zip Code | 70767 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT ALLEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tarisha R Mixon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.