Organization Active NPI

Alternative Healthcare Service

  • Family Nurse Practitioner
  • Twin Cites, GA
National Provider Identifier
1407597677
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALTERNATIVE HEALTHCARE SERVICE
Practice address
325 3Rd St
Twin Cites, GA 30471
Phone
(478) 494-0421
NPI assigned
Apr 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Mrs. Phyllis Frankin Dixon, NP
Title
Owner
Phone
(478) 494-0421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

325 3Rd St
Twin Cites, GA 30471

Mailing address

430 Northside Dr E Ste 160
Statesboro, GA 30458-4758
Phone (478) 494-0421

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1407597677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NORTHSIDE DR E STE 160",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584758",
            "telephone_number": "478-494-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 3RD ST",
            "city": "TWIN CITES",
            "state": "GA",
            "postal_code": "30471",
            "telephone_number": "478-494-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE HEALTHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-04",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "FRANKIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-494-0421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.