NPIMap

Individual provider Active NPI

Kelly Dixon-Martin, MD

  • Physical Medicine & Rehabilitation Physician
  • Athens, GA
National Provider Identifier
1275656563
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
56429 Issued in GA
Practice address
1083 Parkway Blvd
Athens, GA 30606-6171
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 56429 GA Primary

Addresses

Primary practice location

1083 Parkway Blvd
Athens, GA 30606-6171

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other names 1

  • Kelly Dixon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdixonmartin2023937@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000450 GA Practitioner - Physical Medicine and Rehabilitation 9739174285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1083 Pkwy Blvd
Athens, GA 30606-6171
Phone (201) 654-6397

125 Samaritan Dr
Cumming, GA 30040-2354
Phone (201) 654-6397

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Group, Inc. Physical Medicine & Rehabilitation Current Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Nov 27, 2024 Accepting new patients
Rehabilitation Institute of Michigan Past Accepting new patients

Locations

1083 Parkway Blvd
Athens, GA 30606
Phone (347) 458-7445

4017 Atlanta Hwy
#B
Athens, GA 30606
Phone (706) 389-2222

125 Samaritan Dr
Cumming, GA 30040
Phone (770) 537-4482

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1275656563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 PARKWAY BLVD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066171",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-MARTIN",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "56429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdixonmartin2023937@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4017 Atlanta Hwy Ste B",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306060812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DIXON",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.