Individual provider Active NPI

Stacey Ann Dixon, MD

  • Family Medicine Physician
  • Catlettsburg, KY
National Provider Identifier
1083932552
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45839 Issued in KY
Practice address
4004 Louisa Road
Catlettsburg, KY 41129-0001
Phone
(606) 739-6095
NPI assigned
May 8, 2010
Last updated
Jul 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45839 KY Primary

Addresses

Primary practice location

4004 Louisa Road
Catlettsburg, KY 41129-0001

Mailing address

4004 Louisa Rd
Family Care Center- KDMC
Catlettsburg, KY 41129-1091
Phone (606) 739-6095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130919000738 KY Practitioner - HospitalistPractitioner - Family Practice 3476797101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 1, 2016 Accepting new patients
Ashland Hospital Corporation Family Medicine Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 1, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation Family Medicine Past Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

Interoperability endpoints

  • Direct secure messaging: sdixon35126@direct.kdhealth.us

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1083932552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 LOUISA RD",
            "address_2": "FAMILY CARE CENTER- KDMC",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411291091",
            "telephone_number": "606-739-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 LOUISA ROAD",
            "city": "CATLETTSBURG",
            "state": "KY",
            "postal_code": "411290001",
            "telephone_number": "606-739-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "STACEY ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-08",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catlettsburg, KY

Sources for this page

Verify at the official NPI Registry.