Dixon & Mathew Group LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DIXON & MATHEW GROUP LLC

Practice address

6823 Wagon Oak Rd
Charlotte, NC 28212-8580

Phone

(704) 840-5662

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Dewitt Dixon III

Title

Coo

Phone

(704) 840-5662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1679178362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 WAGON OAK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128580",
            "telephone_number": "704-840-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 WAGON OAK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128580",
            "telephone_number": "704-840-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON & MATHEW GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DEWITT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-840-5662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Step ABA NC LLC
• Divine Wisdom Care Inc
• Amelia Divine
• Lila T Divine, PA
• Margaret Mary Divish, MD
• Dixon Family Services and Support
• Dixon Speech Solutions
• Shayna Dixon-Thompson
• Aaron Dixon
• Amanda Laurel Dixon, MA, LCMHCA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.