Active NPI
William Alexander Dix, M.D.
- Emergency Medicine Physician
- Bogart, GA
National Provider Identifier
1669450953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35243
- Practice address
- 4017 Atlanta Hwy
Suite a
Bogart, GA 30622-2212 - Phone
- (706) 389-3065
- NPI assigned
- Jan 6, 2006
- Last updated
- Jan 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35243 | GA | Primary |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 35243 | GA |
Addresses
Primary practice location
4017 Atlanta Hwy
Suite a
Bogart, GA 30622-2212
Mailing address
PO Box 48708
Athens, GA 30604-8708
Phone (706) 543-3449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000552912C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Wound Care Specialists LLC | Current | Accepting new patients |
Locations
4017 Atlanta Hwy
#A
Athens, GA 30606
Phone (706) 389-3065
Organizations & group practices 1
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Athens, GA
- NPI 1376983262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1669450953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48708",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048708",
"telephone_number": "706-543-3449",
"fax_number": "706-543-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 ATLANTA HWY",
"address_2": "SUITE A",
"city": "BOGART",
"state": "GA",
"postal_code": "306222212",
"telephone_number": "706-389-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIX",
"first_name": "WILLIAM",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "35243",
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "GA",
"license": "35243",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000552912C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.