Individual provider Active NPI

Jeffery Thomas Dickson, FNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1851865067
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140247 Issued in TX
Practice address
4705 Briarwood Avenue
Midland, TX 79707-2639
Phone
(432) 505-4145
Fax
(833) 941-0864
NPI assigned
Jan 22, 2019
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140247 TX Primary

Addresses

Primary practice location

4705 Briarwood Avenue
Midland, TX 79707-2639

Mailing address

4705 Briarwood Avenue
Midland, TX 79707-2639
Phone (325) 054-1454

Other practice location 1

616 N Main Street
Andrews, TX 79714-5207
Phone (432) 505-4146

Other practice location 2

6301 Andrews Hwy
Midland, TX 79706-3147
Phone (432) 505-4147

Other practice location 3

6950 Eastridge Road
Odessa, TX 79765-6209
Phone (432) 505-4145

Other practice location 4

5514 N Big Spring Street
Midland, TX 79705-2697
Phone (432) 316-2441

Other practice location 5

3490 East Yukon Rd
Odessa, TX 79762-2010
Phone (432) 252-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190423001962 TX Practitioner - Nurse Practitioner 4789926700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Providers PLLCGroup PAC ID 6002341021, 23 clinicians
Wes Tex Urgent Care PLLCGroup PAC ID 6305150863, 28 clinicians

Practice addresses (Care Compare)

4705 Briarwood Ave
Midland, TX 79707-2639
Phone (432) 505-4145

5514 N Big Spring St
Midland, TX 79705-2697
Phone (432) 375-5247

6950 Eastridge Rd
Odessa, TX 79765-8971
Phone (432) 366-0207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC CurrentSince Dec 9, 2022 Accepting new patients
Round Table Specialist Group, PLLC Current Accepting new patients
Wes Tex Urgent Care PLLC CurrentSince Jul 1, 2021 Accepting new patients
Midland Emergency Managers PLLC CurrentSince Dec 19, 2023 Accepting new patients
Wes Tex Urgent Care, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Wes Tex Urgent Care, PLLC Past Accepting new patients

Locations

616 N Main St
Andrews, TX 79714
Phone (432) 375-5247

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

210 W Longview Ave
Ste A
Midland, TX 79701
Phone (432) 789-1587

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

4705 Briarwood Ave
Midland, TX 79707
Phone (432) 505-4145

5514 N Big Spring St
Midland, TX 79705
Phone (432) 316-2441

6301 Andrews Hwy
Midland, TX 79706
Phone (432) 375-5247

3490 E Yukon Rd
Odessa, TX 79762
Phone (432) 375-5247

6950 Eastridge Rd
Odessa, TX 79765
Phone (432) 366-0207

Interoperability endpoints

  • Direct secure messaging: jeff.dickson.1@26958.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1851865067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 BRIARWOOD AVENUE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072639",
            "telephone_number": "325-054-1454",
            "fax_number": "833-941-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 BRIARWOOD AVENUE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072639",
            "telephone_number": "432-505-4145",
            "fax_number": "833-941-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "TX",
            "postal_code": "797145207",
            "country_code": "US",
            "telephone_number": "432-505-4146",
            "fax_number": "833-450-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Andrews Hwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797063147",
            "country_code": "US",
            "telephone_number": "432-505-4147",
            "fax_number": "833-449-4803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6950 Eastridge Road",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797656209",
            "country_code": "US",
            "telephone_number": "432-505-4145",
            "fax_number": "833-941-0862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5514 N Big Spring Street",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797052697",
            "country_code": "US",
            "telephone_number": "432-316-2441",
            "fax_number": "833-428-1421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 East Yukon Rd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797622010",
            "country_code": "US",
            "telephone_number": "432-252-0408",
            "fax_number": "833-942-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "JEFFERY",
        "middle_name": "THOMAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.