Dixie Loraine McIntosh, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

150973 Issued in GA

Practice address

1348 Walton Way Ste 5100
Augusta, GA 30901-5108

Phone

(706) 724-8611

Fax

(706) 724-6202

NPI assigned

May 18, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1487276010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030925",
            "telephone_number": "706-724-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015108",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 Towne Centre Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093329",
            "country_code": "US",
            "telephone_number": "706-863-3790",
            "fax_number": "706-863-3794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2260 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044764",
            "country_code": "US",
            "telephone_number": "706-724-4400",
            "fax_number": "706-724-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012612",
            "country_code": "US",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "DIXIE",
        "middle_name": "LORAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "150973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Smoak McGrath, PA-C
• Michael Kowacki McGrath, MD
• Chantal McGraw, MD
• Bianca McIntosh
• Chasitie Ann McIntosh
• Marstajah McIntoush
• Valeria McIntyre, PHARM. D., R.PH.
• Molly Marie McKay, M.P.T.
• Ashley Marie McKee, FNP-BC
• Michael McKeighen, MD

• Nurse Practitioner in Augusta, GA
• Providers in Augusta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.