Active NPI
Dixon L Freeman, MD
- Obstetrics & Gynecology Physician
- Rome, GA
National Provider Identifier
1447237169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 051285
- Practice address
- 15 Riverbend Dr SW
Ste 200
Rome, GA 30161-6065 - Phone
- (706) 291-0884
- Fax
- (706) 235-0405
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 051285 | GA | Primary |
Addresses
Primary practice location
15 Riverbend Dr SW
Ste 200
Rome, GA 30161-6065
Mailing address
15 Riverbend Dr SW
Ste 200
Rome, GA 30161-6065
Phone (706) 291-0884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00946657A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1447237169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 RIVERBEND DR SW",
"address_2": "STE 200",
"city": "ROME",
"state": "GA",
"postal_code": "301616065",
"telephone_number": "706-291-0884",
"fax_number": "706-235-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 RIVERBEND DR SW",
"address_2": "STE 200",
"city": "ROME",
"state": "GA",
"postal_code": "301616065",
"telephone_number": "706-291-0884",
"fax_number": "706-235-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DIXON",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "051285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00946657A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.