Active NPI
Jennifer Dixon, NP
- Nurse Practitioner
- Greensboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN-NP155484
- Practice address
- 803 S Main St
Greensboro, GA 30642-1211 - Phone
- (706) 453-1201
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-NP155484 | GA | Primary |
Addresses
Primary practice location
803 S Main St
Greensboro, GA 30642-1211
Mailing address
803 S Main St
Greensboro, GA 30642-1211
Phone (706) 453-1201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201113000484 | GA | Practitioner - Nurse Practitioner | 4789094111 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Southern California Keck School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconee Valley Healthcare Inc
Practice addresses (Care Compare)
803 S Main St
Greensboro, GA 30642-1211
Phone (706) 453-1201
Hospital & facility affiliations
- St Marys Good Samaritan Hospital
- St Mary'S Hospital
- Navicent Health Baldwin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP155484 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Valley Healthcare Inc | Current | Accepting new patients | |
| Oconee Valley Healthcare Inc | Current | Accepting new patients | |
| Oconee Valley Healthcare Inc | Current | Accepting new patients | |
| Oconee Valley Healthcare Inc | Current | Accepting new patients | |
| Oconee Valley Healthcare Inc | Current | Accepting new patients |
Locations
1041 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945
5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331
803 S Main St
Greensboro, GA 30642
Phone (706) 453-1201
1040 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945
60 GA Highway 22 W
Milledgeville, GA 31061
Phone (478) 414-1414
510 N Cobb St
Milledgeville, GA 31061
Phone (478) 414-1414
Interoperability endpoints
- jdixon3385662@direct.trinity-health.org
- jennifer.dixon.1@15507.direct.athenahealth.com
- https://api.platform.athenahealth.com/15507/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Greensboro, GA
- NPI 1255433736
GA
-
- Federally Qualified Health Center (FQHC)
- Greensboro, GA
- NPI 1144771106
-
- Federally Qualified Health Center (FQHC)
- Greensboro, GA
- NPI 1215235320
-
- Federally Qualified Health Center (FQHC)
- Eatonton, GA
- NPI 1356102198
-
- Federally Qualified Health Center (FQHC)
- Milledgeville, GA
- NPI 1790106623
-
- Federally Qualified Health Center (FQHC)
- Milledgeville, GA
- NPI 1770822496
-
- Federally Qualified Health Center (FQHC)
- Eatonton, GA
- NPI 1932891488
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1225637192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 S MAIN ST",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306421211",
"telephone_number": "706-453-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S MAIN ST",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306421211",
"telephone_number": "706-453-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "APRN-NP155484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.