NPIMap

Organization Active NPI

Geriatric Specialists LLC

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1265504716
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00010425 Issued in AL
Legal business name
GERIATRIC SPECIALISTS LLC
Practice address
1059 Palmetto St
Mobile, AL 36604
Phone
(251) 675-4733
Fax
(251) 679-2914
NPI assigned
Nov 13, 2006
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John L Dixon Jr., MDNPI 1316040413
Title
Owner
Phone
(251) 675-4733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00010425 AL Primary

Addresses

Primary practice location

1059 Palmetto St
Mobile, AL 36604

Mailing address

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1265504716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SHELL RD",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712202",
            "telephone_number": "251-675-4733",
            "fax_number": "251-679-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 PALMETTO ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36604",
            "telephone_number": "251-675-4733",
            "fax_number": "251-679-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-675-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00010425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.