Individual provider Active NPI

Michael John Dixon, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NC
National Provider Identifier
1346260577
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
715 Issued in NC
Practice address
920 Church St N
Concord, NC 28025-2927
Phone
(704) 783-4235
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 188870 NC
Certified Registered Nurse Anesthetist 367500000X 715 NC Primary

Addresses

Primary practice location

920 Church St N
Concord, NC 28025-2927

Mailing address

527 N Oak Dr
Huntersville, NC 28078-2622

Other identifiers 2

IdentifierTypeStateIssuer
8052042MedicaidNC
NAN724MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041018000683 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789644337 Reassigns benefits to 16 organizations
I20230228000731 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789644337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Digestive Health Associates PA 45 clinicians
Forsyth Memorial Hospital Inc 622 clinicians

Practice addresses (Care Compare)

1085 NE Gateway CT NE
Suite 280
Concord, NC 28025-2412
Phone (704) 455-9700

300 Billingsley Rd
Suite 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
188870NCMDCertified Registered Nurse Anesthetist
715NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Sep 1, 2017 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Medical Park Hospital LLC CurrentSince Mar 13, 2023 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
CMC-Northeast, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2007 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Medical Park Hospital LLC CurrentSince Mar 13, 2023 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Mar 13, 2023 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Mar 13, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 1, 2013 Accepting new patients
Carolina Digestive Health Associates, PA CurrentSince Dec 1, 2013 Accepting new patients
The Presbyterian Hospital CurrentSince Mar 13, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Carolinas Medical Center-Northeast CurrentSince Jul 1, 2007 Accepting new patients
The Presbyterian Hospital CurrentSince Mar 13, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Nov 16, 2022 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Mar 13, 2023 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 13, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Mar 13, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2013 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Mercy Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Charlotte Radiology P a Past Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

300 Billingsley Rd
Ste 200B
Charlotte, NC 28211
Phone 70437279742165

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

1085 NE Gateway Ct NE
Ste 280
Concord, NC 28025
Phone (704) 455-9700

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1346260577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N OAK DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280782622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-783-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "188870",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052042",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NAN724",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.