Mary Beth Dixon, PA
Individual provider Active NPI Physician Assistant · Browns Summit, NC
NPI 1245338359 · NPPES record last updated Jan 11, 2013
Key facts
- NPI
- 1245338359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 102841 (NC)
- Practice address
- 4901 E NC Highway 150
Browns Summit, NC 27214-9719 - Phone
- (336) 656-9905
- Fax
- (336) 656-5227
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102841 | NC | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102841 | NC | Yes |
Addresses
Primary practice location
4901 E NC Highway 150
Browns Summit, NC 27214-9719
Mailing address
4901 E NC Highway 150
Browns Summit, NC 27214-9719
Phone (336) 656-9905
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245338359 | Other | NC | NC BLUE CROSS |
| 2759132B | Other | NC | MEDICARE |
Other providers in Browns Summit, NC
- Robin Whitsett Crite
- Sena Crutchley
- Rosetta Cunningham
- Sharon Jean Davis
- Actavia Dempsey
- Jerin D Elliott
- Enoch Consulting, LLC
- Erion Consulting LLC
- Errc Services
- Nataki Smith Ganzer
All providers in Browns Summit, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.