Individual provider Active NPI

Sabra L Dixon, PA-C

  • Physician Assistant
  • Tyler, TX
National Provider Identifier
1861933954
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11206 Issued in TX
Practice address
627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone
(903) 593-2539
Fax
(903) 593-0559
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11206 TX Primary

Addresses

Primary practice location

627 Turtle Creek Dr
Tyler, TX 75701-1832

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

Other identifiers 1

IdentifierTypeStateIssuer
369735101MedicaidTX

Other names 1

  • Sabra L Mitchell Former name

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
I20170419001033 TX Practitioner - Physician Assistant 4183900533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

Tyler, TX 75703
Phone (817) 321-0404

Whitehouse, TX 75791
Phone (817) 321-0404

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (817) 321-0404

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (817) 321-0404

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (817) 321-0404

5425 W Spring Creek Pkwy
110 Village Imaging Center
Plano, TX 75024-4236
Phone (817) 321-0937

7574 Northlake Dr
Tyler, TX 75703-7034
Phone (817) 321-0404

800 E Dawson St
Tyler, TX 75701-2036
Phone (817) 321-0404

800 W Magnolia Ave
Fort Worth, TX 76104-4611

8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (817) 321-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Texas PA CurrentSince Oct 1, 2020 Accepting new patients

Locations

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1622 8th Ave
Ste 120
Fort Worth, TX 76104
Phone (817) 923-8220

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

627 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 597-6372

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

Interoperability endpoints

  • Direct secure messaging: sdixon355147@ahs.direct-ci.com
  • Direct secure messaging: sdixon283519@christushealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1861933954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539",
            "fax_number": "903-593-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "SABRA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369735101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRA",
            "last_name": "MITCHELL",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.