Kendale J Dixon

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44896 Issued in AL

Practice address

2000 Pepperell Pkwy
Opelika, AL 36801-5452

Phone

(334) 749-3411

NPI assigned

Apr 11, 2019

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Male

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

Enrolled in AL

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 1

Specialty

Internal Medicine

Education

Medical College of Georgia School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Associates P.C.Group PAC ID 0941251607, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Opelika, AL
  • NPI 1225108715
  Medicare reassignment Care Compare group NPD
• Internal Medicine Lab.

  • Clinical Medical Laboratory
  • Opelika, AL
  • NPI 1861558041
  NPD
• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1457814907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-749-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-749-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "KENDALE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "44896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee C Dewitt, B.S., LAT, ATC
• Tessa Colleen Dimick
• Erin Dimuzio, PHARMD
• Charles Dyer Diskin, M.D.
• Charles J Diskin, MD
• Jennifer Dominguez
• Adam Craig Dooley, M.D.
• Ashley Prosser Dorn, CRNP
• Carol H. Dorn, CRNA
• May G Dorsinville, CRNP

• Internal Medicine Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.