Jackie Dixon, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-083022 Issued in AL

Practice address

867 County Road 59
Pine Apple, AL 36768-3525

Phone

(251) 746-2197

NPI assigned

Aug 4, 2017

Last updated

May 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rural Health Medical Program, Inc.

  dba Marion Health Center

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151

  Single Specialty

  Medicare reassignment NPD
• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458

  Single Specialty

  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Rural Health Medical Program, Inc

  dba Vredenburgh Health Center

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208

  Single Specialty

  NPD
• Rural Health Medical Program, Inc

  dba Thomaston Health Center

  • Federally Qualified Health Center (FQHC)
  • Thomaston, AL
  • NPI 1215471032

  Single Specialty

  NPD
• Rural Health Medical Program, Inc

  dba Pine Apple Health Center

  • Federally Qualified Health Center (FQHC)
  • Pine Apple, AL
  • NPI 1295804391

  Single Specialty

  NPD
• Rural Health Medical Program, Inc

  dba Monroeville Health Center

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457994121

  Single Specialty

  NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927

  Single Specialty

  NPD
• Rural Health Medical Program, Inc

  dba RHMPI - Selma Health Center and Administrative Office

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
  • NPI 1992040950

  Single Specialty

  NPD
• Rural Health Medical Program, Inc.

  dba Uniontown Health Services

  • Federally Qualified Health Center (FQHC)
  • Uniontown, AL
  • NPI 1033298757

  Single Specialty

  NPD
• Rural Health Medical Program, Inc.

  dba Yellow Bluff Health Center

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419

  Single Specialty

  NPD

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1831614452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RUTH ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016056",
            "telephone_number": "334-412-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 COUNTY ROAD 59",
            "city": "PINE APPLE",
            "state": "AL",
            "postal_code": "367683525",
            "telephone_number": "251-746-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JACKIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-083022",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "F08170117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanne Cook, MD
• Allison Owens, CRNP
• Rural Health Medical Program, Inc (Pine Apple Health Center)
• Marlo Wolff

• Nurse Practitioner in Pine Apple, AL
• Providers in Pine Apple, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.

Verify at the official NPI Registry.