Individual provider Active NPI

John M Dixon, MD P C

  • Ophthalmology Physician
  • Albany, GA
National Provider Identifier
1669460325
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15926 Issued in GA
Practice address
1909 Aberdeen Rd
Suite 108
Albany, GA 31701-1300
Phone
(229) 439-7774
Fax
(229) 883-8586
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15926 GA Primary

Addresses

Primary practice location

1909 Aberdeen Rd
Suite 108
Albany, GA 31701-1300

Mailing address

1909 Aberdeen Rd
Suite 108
Albany, GA 31701-1300
Phone (229) 439-7774

Other identifiers 1

IdentifierTypeStateIssuer
00081078AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15926GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John M Dixon MD PC PastSince Sep 15, 2003 Accepting new patients
Kura LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1669460325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 108",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011300",
            "telephone_number": "229-439-7774",
            "fax_number": "229-883-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 ABERDEEN RD",
            "address_2": "SUITE 108",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011300",
            "telephone_number": "229-439-7774",
            "fax_number": "229-883-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD P C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "15926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00081078A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.