Courtland Cortez Dixon

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

801 29TH St
Columbus, GA 31904-8709

Phone

(762) 258-1680

NPI assigned

Sep 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• GB Entity LLC

  • Land Ambulance
  • Columbus, GA
  • NPI 1801670112
  NPD Authorized official
• Glory Brothers Transport LLLP

  • Non-emergency Medical Transport (VAN)
  • Columbus, GA
  • NPI 1790402220
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1467230375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 29TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048709",
            "telephone_number": "762-258-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 29TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048709",
            "telephone_number": "762-258-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "COURTLAND",
        "middle_name": "CORTEZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Dionne
• Direct Optical Center Inc
• Anthony Vincent Ditaranto, MD
• Diversified Consulting Services, LLC
• Bhushit S Dixit, MD
• Jennifer Dixon, AA
• Kinnes Key Dixon Jr.
• Lakeisha Monique Dixon, FNP-C
• Marquesha Shontel Dixon, RBT
• Monica Dixon

• Contractor in Columbus, GA
• Providers in Columbus, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.