Individual provider Active NPI

Tamera Hixon, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lumberton, NC
National Provider Identifier
1417937665
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2009-01552 Issued in NC
Practice address
2905 N Elm St
Lumberton, NC 28358-2982
Phone
(910) 738-8154
Fax
(910) 671-8818
NPI assigned
Jan 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2009-01552 NC Primary
Anesthesiology Physician 207L00000X 2009-01552 NC

Addresses

Primary practice location

2905 N Elm St
Lumberton, NC 28358-2982

Mailing address

PO Box 2370
Lumberton, NC 28359-2370
Phone (910) 738-8154

Other identifiers 3

IdentifierTypeStateIssuer
103450OtherKSBCBS
P00109537OtherRAILROAD MEDICAR
100403500CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150813009425 FL Practitioner - Anesthesiology 9931095981 Reassigns benefits to 4 organizations
I20200324002991 NH Practitioner - Anesthesiology 9931095981 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-01552NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation Pain Medicine CurrentSince Feb 9, 2020 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Feb 9, 2020 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince May 21, 2024 Accepting new patients
Ams Anesthetist Services LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince May 24, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Jan 31, 2018 Accepting new patients
Anesthesia Consulting Services, PA Anesthesiology Past Accepting new patients
Lumberton Anesthesia Consultants, P.C. Anesthesiology Past Accepting new patients
Kansas Anesthesia Services LLC Anesthesiology Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Organizations & group practices 9

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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1417937665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2370",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283592370",
            "telephone_number": "910-738-8154",
            "fax_number": "910-671-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582982",
            "telephone_number": "910-738-8154",
            "fax_number": "910-671-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXON",
        "first_name": "TAMERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2009-01552",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2009-01552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "103450",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICAR",
            "identifier": "P00109537",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100403500C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.