NPIMap

Organization Active NPI

W N Dixon MD PA

  • Surgery Physician
  • McComb, MS
National Provider Identifier
1659486736
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
09423 Issued in MS
Legal business name
W N DIXON MD PA
Practice address
1311 Aston Ave
McComb, MS 39648-2825
Phone
(601) 684-2481
Fax
(601) 684-2488
NPI assigned
Aug 20, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
William Newell Dixon, MDNPI 1427262591
Title
President
Phone
(601) 684-2481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 09423 MS Primary

Addresses

Primary practice location

1311 Aston Ave
McComb, MS 39648-2825

Mailing address

1311 Aston Ave
McComb, MS 39648-2825
Phone (601) 684-2481

Other identifiers 7

IdentifierTypeStateIssuer
1695751OtherLALOUISIANA MEDICAID
0055313OtherMSMISSISSIPPI SELECT
020038952OtherMSRAILROAD MEDICARE
00117256MedicaidMS
1730025OtherMSUNITED HEALTHCARE
427063722AOtherMSBLUE CROSS BLUE SHIELD
5933484OtherMSAETNA

Other names 1

  • William N Dixon MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1659486736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482825",
            "telephone_number": "601-684-2481",
            "fax_number": "601-684-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482825",
            "telephone_number": "601-684-2481",
            "fax_number": "601-684-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W N DIXON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "NEWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-684-2481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "09423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA MEDICAID",
            "identifier": "1695751",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI SELECT",
            "identifier": "0055313",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020038952",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117256",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1730025",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "427063722A",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5933484",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William N Dixon MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.