Georgia Marie Dixon, RN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

110317 Issued in NC

Practice address

943 W Andrews Ave Ste H
Henderson, NC 27536-2562

Phone

(252) 433-0061

NPI assigned

Nov 8, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1417592825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE STE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362562",
            "telephone_number": "252-433-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 Latrobe Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282114885",
            "country_code": "US",
            "telephone_number": "980-256-4904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "GEORGIA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "110317",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "110317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Scott Dieter, MD
• Jacquelynn Diggs, COTA
• Divine Favor Homecare Services, LLC.
• Divine Prodigy LLC
• Gina Divirgilio
• Penelope Julian Dixon, LCSWA
• DLP Maria Parham Medical Center LLC (Maria Parham Medical Center)
• DLP Maria Parham Medical Center LLC (Maria Parham Medical Center)
• DLP Maria Parham Medical Center LLC (Maria Parham Health)
• DLP Maria Parham Medical Center LLC (Maria Parham Regional Home Health)

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Henderson, NC
• Providers in Henderson, NC by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.