Individual provider Active NPI

Dixie G Brown, CFNP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1083813240
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R784401 Issued in MS
Practice address
102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone
(601) 981-1610
Fax
(601) 366-2887
NPI assigned
Jul 17, 2007
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R784401 MS Primary

Addresses

Primary practice location

102 Riverview Dr Ste a
Flowood, MS 39232-8908

Mailing address

102 Riverview Dr Ste a
Flowood, MS 39232-8908
Phone (601) 981-1610

Other identifiers 1

IdentifierTypeStateIssuer
07309251MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000812 MS Practitioner - Nurse Practitioner 1355585522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Nephrology Clinic PLLCGroup PAC ID 7517120595, 16 clinicians

Practice addresses (Care Compare)

102 Riverview Dr
Suite a
Flowood, MS 39232-8908
Phone (601) 981-1610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nephrology Clinic PLLC CurrentSince Jun 25, 2013 Accepting new patients

Locations

102 Riverview Dr
#A
Flowood, MS 39232
Phone (601) 981-1610

Interoperability endpoints

  • Direct secure messaging: dbrown26192@direct.acumenmd.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1083813240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIVERVIEW DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328908",
            "telephone_number": "601-981-1610",
            "fax_number": "601-366-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DIXIE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R784401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07309251",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.