Individual provider Active NPI

Deborah Gardner Nixon, MD

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1073575684
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
98-000340 Issued in NC
Practice address
8936 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone
(704) 341-0090
Fax
(704) 341-0092
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 98-000340 NC Primary

Addresses

Primary practice location

8936 Blakeney Professional Dr
Charlotte, NC 28277-6660

Mailing address

8936 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 341-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000563 NC Practitioner - Dermatology 3678572815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-000340NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Allergy Asthma & Immunology Relief, PA Current Accepting new patients
Skin Surgery Center PA CurrentSince Nov 1, 2021 Accepting new patients
Carolina Dermatology, LLC Dermatology PastSince May 18, 1998 Accepting new patients

Locations

8936 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 341-0090

137 Professional Park Dr
Ste D
Mooresville, NC 28117
Phone (704) 660-3322

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: deborah.nixon@qdp.emadirect.md
  • Direct secure messaging: dnixon@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1073575684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 BLAKENEY PROFESSIONAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776660",
            "telephone_number": "704-341-0090",
            "fax_number": "704-341-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 BLAKENEY PROFESSIONAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776660",
            "telephone_number": "704-341-0090",
            "fax_number": "704-341-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "DEBORAH",
        "middle_name": "GARDNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "98-000340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.