NPIMap

Organization Active NPI

Jerome a. Dixon, D.O., LLC

Doing business as Crossroads Family Clinic

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Campbellsville, KY
National Provider Identifier
1942540984
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
02320 Issued in KY
Legal business name
JEROME A. DIXON, D.O., LLC
Doing business as
Crossroads Family Clinic
Crossroads Family Medicine
Practice address
150 W Bear Track Rd
Campbellsville, KY 42718-8709
Phone
(270) 465-8133
Fax
(270) 789-1543
NPI assigned
Feb 28, 2013
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Nissan Friedman
Title
Chief Executive Officer
Phone
(845) 521-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 02320 KY Primary

Addresses

Primary practice location

150 W Bear Track Rd
Campbellsville, KY 42718-8709

Mailing address

150 W Bear Track Rd
Campbellsville, KY 42718-8709
Phone (270) 465-8133

Other names 2

  • Crossroads Family Clinic Doing business as
  • Crossroads Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crossroad Family Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJABCA

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1942540984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W BEAR TRACK RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427188709",
            "telephone_number": "270-465-8133",
            "fax_number": "270-789-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME A. DIXON, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NISSAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-521-9991"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "KY",
            "license": "02320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.