Active NPI
Kristopher Lin Dixon, MD
- Pediatric Critical Care Medicine Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 91584
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-3245
- Fax
- (336) 716-0567
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 91584 | SC | Primary |
| Pediatrics Physician | 208000000X | MD473629 | PA |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Other practice location 1
9 Richland Medical Park Dr Ste 530
Columbia, SC 29203-6870
Phone (803) 434-4603
Other practice location 2
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Wake Forest University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9 Richland Medical Park Dr
Suite 530
Columbia, SC 29203-6870
Phone (803) 434-4603
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.55 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD473629 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Pediatrics | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients |
Locations
329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
9 Richland Medical Park Dr
Ste 530
Columbia, SC 29203
Phone (803) 434-4603
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Interoperability endpoints
- kdixon791456@direct.ghs.myhfn.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Pediatrics
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1699270728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-713-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-3245",
"fax_number": "336-716-0567"
}
],
"practiceLocations": [
{
"address_1": "9 Richland Medical Park Dr Ste 530",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036870",
"country_code": "US",
"telephone_number": "803-434-4603",
"fax_number": "803-434-7983",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIXON",
"first_name": "KRISTOPHER",
"middle_name": "LIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "SC",
"license": "91584",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD473629",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.
- 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.