Donovan D Dixon, M.D.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

237457 Issued in NY

Practice address

812 Candy Park Road 5101
Pembroke, NC 28372-7322

Phone

(910) 522-1143

Fax

(910) 522-1162

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1851582092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 RAMSEY STREET",
            "address_2": "SUITE 109-237",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117675",
            "telephone_number": "347-452-9437",
            "fax_number": "910-488-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK ROAD 5101",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-522-1143",
            "fax_number": "910-522-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DONOVAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237457",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "201001347",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916910",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dial'S Family Care, Inc.
• Dial'S Family Care, Inc.
• Dials Family Care Home #7
• Dignity Home Care LLC
• Dixon Medical Services PC
• William Dixon, LAT, ATC
• Scott Donaghy
• Brock Dorsett, PHARMD
• Due Season Hospice and Homecare Agency Inc.
• Melissa Dunson

• Family Medicine Physician in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.