Jerry Mixon, MD
- Verification result
- Current license matched
- Credential
- MD
- Washington license status
- Washington Medical License: Active
- License number
- MD.MD.00023643
- License expires
- August 2027
- NPI
- 1366799090
- Primary taxonomy
- Family Medicine, Adult Medicine
- Role stated by clinic
- founder
- Checked
- Verified October 6, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- founder
- Credential
- MD
- Named as medical director
- Not stated
- Named as an injector
- Not stated on the pages reviewed
- Clinic source
- longevitymedicalclinic.com
- Date checked
- October 12, 2026
Dr. Jerry Mixon.
Federal provider record
- NPI
- 1366799090
- Primary taxonomy
- Family Medicine, Adult Medicine
- Source
- NPPES NPI Registry
- Date checked
- October 4, 2026
State professional license
- Credential
- MD
- State license
- Washington Medical Commission
- License number
- MD.MD.00023643
- Status
- Active
- Expires
- August 2027
- Checked
- October 6, 2026
Board action recorded: Yes, see the board record.
Physician And Surgeon License license MD.MD.00023643; Jerry Nelson Mixon; status: Active; expires 2027-08-28; issued 1986-03-24; board action: ActionTaken Yes; wa-doh published 2026-10-02, Health_Care_Provider_Credential_Data_20261002.csv row 507054
State data published October 2, 2026.
Verification finding
- Result
- Current license matched (Active)
Longevity Medical Clinic names Jerry Mixon, MD, with the stated role founder. Verified Injector matched this clinician to license MD.MD.00023643 at the Washington Medical Commission, which that board recorded as Active when checked October 6, 2026.