Dixon Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00432 Issued in NC

Legal business name

DIXON MEDICAL INC

Practice address

105 Moss Springs Rd
Albemarle, NC 28001-5140

Phone

(704) 982-8274

Fax

(704) 982-8280

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry D Whitley

Title

Ceo

Phone

(704) 982-8274

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952372476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOSS SPRINGS RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015140",
            "telephone_number": "704-982-8274",
            "fax_number": "704-982-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MOSS SPRINGS RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015140",
            "telephone_number": "704-982-8274",
            "fax_number": "704-982-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-982-8274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS PROVIDER #",
            "identifier": "0000223283",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER #",
            "identifier": "0432U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702680",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis F Devereux, M.D.
• Colbi Diggs, PHARMD
• Stacy L Dinges, D.S.S.
• Thu Dinh
• Divine Health Academy (D & C Home Care Services)
• Peter M Dominick, PA-C
• Gina Douglas
• Christin Elizabeth Dow, RD, LDN
• Caren Dowless, FNP-C
• Dr. James L. Marshall

• Durable Medical Equipment & Medical Supplies in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.