Jerome Anthony Dixon, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02320 Issued in KY

Practice address

150 W Bear Track Rd
Campbellsville, KY 42718-8709

Phone

(270) 465-8133

Fax

(270) 789-1543

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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.

• Jerome a Dixon D O LLC

  • Family Medicine Physician
  • Campbellsville, KY
  • NPI 1508932955

  Family Medicine, KY

  Medicare reassignment Care Compare group NPD
• Personal Geri-Care, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Campbellsville, KY
  • NPI 1710559463

  Geriatric Medicine, KY

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  KY

  Medicare reassignment
• Campbellsville Operating Company LLC

  • Skilled Nursing Facility
  • Campbellsville, KY
  • NPI 1063997344
  NPD (past)
• CNRF Operations, LLC

  • Skilled Nursing Facility
  • Campbellsville, KY
  • NPI 1821540485
  NPD (past)

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

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147

  Hospital

  Care Compare affiliation
• CNRF Operations, LLC

  • Skilled Nursing Facility
  • Campbellsville, KY
  • NPI 1821540485

  Nursing home

  Care Compare affiliation
• Family Home Health Care LLC

  • Home Health Agency
  • Columbia, KY
  • NPI 1891765723
  Care Compare affiliation
• Hosparus Inc.

  • Community Based Hospice Care Agency
  • Madisonville, KY
  • NPI 1093491904

  Hospice

  Care Compare affiliation
• Hosparus Inc.

  • Community Based Hospice Care Agency
  • Louisville, KY
  • NPI 1609922707

  Hospice

  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation
• Spring View Hospital LLC

  • Rural Acute Care Hospital
  • Lebanon, KY
  • NPI 1780746420

  Hospital

  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942

  Hospital

  Care Compare affiliation

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CNRF Operations, LLC

  • Skilled Nursing Facility
  • Campbellsville, KY
  • NPI 1821540485

  Adp of the SNF

  CMS ownership

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine, Pain Management

Education

Ohio University, College of Osteopathic Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jerome a Dixon D O LLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Hosparus, Inc Hospice, Louisville, KY, CCN 181502
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087
• Spring View Hospital Hospital, Lebanon, KY, CCN 180024
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
• The Grandview Nursing and Rehabilitation Facility Nursing home, Campbellsville, KY, CCN 185042

Procedures performed for Medicare patients

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

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2009.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1215919451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JEROME",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "KY",
            "license": "02320",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "02320",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "02320",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KY",
            "license": "02320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64023203",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Davis, MSW
• Lori Davis
• Debra De la Garza, LCSW, CADC
• Dek Health Alliance LLC
• Erica N Dishman, LPCC
• Rachael Dobson
• Molly West Doerr, OD
• Stephanie Donnelly
• Andrew Dornbrook, PT, DPT
• Holly Dornbrook, DPT

• All providers in Campbellsville, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.