Dixon Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2010-01347 Issued in NC

Legal business name

DIXON MEDICAL SERVICES PC

Practice address

812 Candy Park Road 5101
Pembroke, NC 28372-7322

Phone

(910) 522-1143

Fax

(910) 522-1162

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Donovan Dixon, MD

Title

Ceo

Phone

(347) 831-1259

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1477820934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 RAMSEY ST STE 109-237",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117675",
            "telephone_number": "910-488-7777",
            "fax_number": "910-488-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK ROAD 5101",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-522-1143",
            "fax_number": "910-522-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-831-1259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-01347",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "201001347",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dial'S Family Care Home #9
• Dial'S Family Care, Inc.
• Dial'S Family Care, Inc.
• Dials Family Care Home #7
• Dignity Home Care LLC
• Donovan D Dixon, M.D.,
• William Dixon, LAT, ATC
• Scott Donaghy
• Brock Dorsett, PHARMD
• Due Season Hospice and Homecare Agency Inc.

• Family Medicine Physician in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.