Jacob Lloyd Nixon

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001654 Issued in VA

Practice address

4700 Puddledock Rd Ste 100
Prince George, VA 23875-1268

Phone

(804) 484-3700

Fax

(804) 320-6462

NPI assigned

Sep 13, 2017

Last updated

Nov 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

West Virginia University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Ear Nose and Throat Associates PCGroup PAC ID 6901794999, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Virginia Ear Nose & Throat Associates PC

  • Otolaryngology Physician
  • North Chesterfield, VA
  • NPI 1356325757
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1881113504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36007",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358000",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD STE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "JACOB",
        "middle_name": "LLOYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Father's House,LLC
• Shobha Rani Nalluri, MD
• Skyler Colleen Naves
• Gabrielle Katherine Nelson
• Neuro Care of Virginia PC
• Olivia Novak, OD
• Fafa Isabel Nyirenda
• Christopher W Ogburn, MD
• Reza Khan Omarzai, M.D.
• Orthovirginia, Inc.

• Audiologist in Prince George, VA
• Providers in Prince George, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.