Michelle Louise Dixon, CPNP

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

RN170285 Issued in GA

Practice address

755 Old Norcross Rd
Lawrenceville, GA 30046-4317

Phone

(770) 277-6725

Fax

(770) 277-9169

NPI assigned

Feb 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mdixon@pal.opdirect.net

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.

• Georgia Surgical Professional Services, LLC

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1801224506
  NPD (past)
• Pediatric Associates of Lawrenceville LLC

  • Pediatric Adolescent Medicine Physician
  • Lawrenceville, GA
  • NPI 1770601593

  Adolescent Medicine

  NPD (past)

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1821320003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464317",
            "telephone_number": "770-277-6725",
            "fax_number": "770-277-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464317",
            "telephone_number": "770-277-6725",
            "fax_number": "770-277-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "RN170285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195536290A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Psychiatric Care, LLC
• Satyanarayana M Divvela, MD
• Cara L Dixon, LCSW
• Jaquai Dixon
• Marcia Nicole Dixon
• Scott Landon Dixon, DPT
• Yolanda E Dixon, PHLEBOTOMY
• Amanda Dizinno, LOTR
• Ananke Gerhardina Djatsa, RN,BSN
• An Duy DO, M.D.

• All providers in Lawrenceville, GA
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.