Dixie Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN118481 Issued in GA

Legal business name

DIXIE MEDICAL

Practice address

1085 Plaza Ave
Eastman, GA 31023-9102

Phone

(478) 559-1386

Fax

(478) 559-1388

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Tonya Lewis, NP

Title

Owner

Phone

(478) 559-1386

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1669909172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "CHAUNCEY",
            "state": "GA",
            "postal_code": "310110146",
            "telephone_number": "478-559-1386",
            "fax_number": "478-559-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-559-1386",
            "fax_number": "478-559-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-559-1386",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN118481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dodge County Board of Health
• Dodge County Commissioner of Roads and Revenues
• Dodge County Emergency Physicians LLC
• Dodge County Hospital Authority
• Dodge County Hospital Authority

• All providers in Eastman, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.