Individual provider Active NPI

Dixie Darlene Dabbs, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1184490484
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35048 Issued in TN
Practice address
59 Sherrell Dr
Jackson, TN 38301-3818
Phone
(731) 727-4211
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 35048 TN Primary

Addresses

Primary practice location

59 Sherrell Dr
Jackson, TN 38301-3818

Mailing address

59 Sherrell Dr
Jackson, TN 38301-3818
Phone (731) 727-4211

Other practice location 1

21 Security Dr
Jackson, TN 38305-3626
Phone (731) 661-9163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240327002429 TN Practitioner - Nurse Practitioner 2062859937 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 27, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 27, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Rebecca a. Griggs CurrentSince Feb 12, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Jun 16, 2024 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1618 Highway 51 S
Covington, TN 38019
Phone (901) 313-9013

2066 N Highland Ave
Jackson, TN 38305
Phone (731) 513-6250

21 Security Dr
Jackson, TN 38305
Phone (731) 661-9163

Organizations & group practices 19

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.

View all 19

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLC 737 clinicians
Rebecca a. Griggs 2 clinicians

Practice addresses (Care Compare)

2066 N Highland Ave
Jackson, TN 38305-4919
Phone (931) 253-1110

21 Security Dr
Jackson, TN 38305-3626
Phone (731) 661-9163

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1184490484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SHERRELL DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013818",
            "telephone_number": "731-727-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 SHERRELL DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013818",
            "telephone_number": "731-727-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Security Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053626",
            "country_code": "US",
            "telephone_number": "731-661-9163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABBS",
        "first_name": "DIXIE",
        "middle_name": "DARLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.