Individual provider Active NPI

Felisha Nicole Dixon-Brazier, NP-C

  • Family Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1366792186
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN214610 Issued in GA
Practice address
140 Stonewall Ave W # 107
Fayetteville, GA 30214-1520
Phone
(770) 305-5416
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN214610 GA
Family Nurse Practitioner 363LF0000X RN214610 GA Primary

Addresses

Primary practice location

140 Stonewall Ave W # 107
Fayetteville, GA 30214-1520

Mailing address

102 Nealys Way
Haddock, GA 31033-2027
Phone (478) 932-8365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302000399 GA Practitioner - Nurse Practitioner 3274927504 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Apr 6, 2022 Accepting new patients
Minuteclinic LLC Family CurrentSince Jan 18, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 22, 2022 Accepting new patients
MC Medical LLC Current Accepting new patients

Locations

702 SW 8th St
Bentonville, AR 72716

2429 Mlk Jr Dr SW
Atlanta, GA 30311
Phone (404) 691-3344

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542

125 Pavilion Pkwy
Ste A
Fayetteville, GA 30214
Phone (770) 719-0932

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

250 Skillman St
Ste 202
Brooklyn, NY 11205

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: felisha.dixonbrazier.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366792186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NEALYS WAY",
            "city": "HADDOCK",
            "state": "GA",
            "postal_code": "310332027",
            "telephone_number": "478-932-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONEWALL AVE W # 107",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141520",
            "telephone_number": "770-305-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-BRAZIER",
        "first_name": "FELISHA",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN214610",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN214610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.