Active NPI
Johnathon Dickerson
- Contractor
- Starkville, MS
National Provider Identifier
1235089962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 7662 New Light Rd
Starkville, MS 39759-5640 - Phone
- (662) 694-2556
- NPI assigned
- Feb 2, 2026
- Last updated
- Feb 2, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | Primary |
Addresses
Primary practice location
7662 New Light Rd
Starkville, MS 39759-5640
Mailing address
7662 New Light Rd
Starkville, MS 39759-5640
Phone (662) 694-2556
Other practice location 1
1351 John Robert Dr
Morrow, GA 30260-1715
Phone (662) 694-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effective Freight Solutions LLC | Contractor | Current | Accepting new patients |
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.
-
- Contractor
- Starkville, MS
- NPI 1427908169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1235089962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7662 NEW LIGHT RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397595640",
"telephone_number": "662-694-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7662 NEW LIGHT RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397595640",
"telephone_number": "662-694-2556"
}
],
"practiceLocations": [
{
"address_1": "1351 John Robert Dr",
"address_purpose": "LOCATION",
"city": "Morrow",
"state": "GA",
"postal_code": "302601715",
"country_code": "US",
"telephone_number": "662-694-2556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKERSON",
"first_name": "JOHNATHON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
- Hilary Lea Deshong, PH.D.
- Steven C Dewberry, C.R.N.A.
- Jennifer M Deweese, PT
- DHS Services LLC
- Carolyn Diamond
- Dis Solutions LLC (Dis Solutions)
- Diversified Health Services, Inc.
- Diversified Infusioncare Solutions
- Diversified Infusioncare Solutions, Inc
- Diversified Infusioncare Solutions, Inc. (Diversified InfusionCare Solutions Vital Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.