Individual provider Active NPI

Mae Dixon, NP

  • Nurse Practitioner
  • Peachtree City, GA
National Provider Identifier
1679977227
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN177221 Issued in GA
Practice address
100 S Peachtree Pkwy
Peachtree City, GA 30269-1705
Phone
(404) 948-3019
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 1139741 AL
Family Nurse Practitioner 363LF0000X RN177221 GA
Nurse Practitioner 363L00000X RN177221 GA Primary

Addresses

Primary practice location

100 S Peachtree Pkwy
Peachtree City, GA 30269-1705

Mailing address

40 S Main St Ste 1300
Memphis, TN 38103-5513
Phone (866) 949-0108

Other practice location 1

1230 Peachtree St NE Fl 19
Atlanta, GA 30309-3574
Phone (866) 949-0108

Other names 1

  • Mrs. Mae Antreal Dixon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150311001832 AL Practitioner - Nurse Practitioner 0749506681 Reassigns benefits to 1 organization
I20160126000759 GA Practitioner - Nurse Practitioner 0749506681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, 157 clinicians

Practice addresses (Care Compare)

2737 Warm Springs Rd
Suite B and C
Columbus, GA 31904-5328
Phone (706) 653-2255

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1139741ALMDGeneral Practice Registered Nurse
RN177221GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jun 29, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jun 29, 2024 Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Oct 17, 2021 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

115 W Grand Ave
Ste 90
Rainbow City, AL 35906
Phone (256) 442-6400

2737 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 576-5149

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

Interoperability endpoints

  • Direct secure messaging: ms_mdixon23@landmarkhealth-direct.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1679977227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691705",
            "telephone_number": "404-948-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Peachtree St NE Fl 19",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093574",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2023-02-28",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1139741",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN177221",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN177221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAE",
            "last_name": "DIXON",
            "middle_name": "ANTREAL",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.