Active NPI
Paul L Dickson, M.D.
- Surgery Physician
- Cornelia, GA
National Provider Identifier
1952392201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 025963
- Practice address
- 123 Springbrook Dr
Cornelia, GA 30531-5090 - Phone
- (770) 654-0380
- NPI assigned
- Nov 3, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 025963 | GA | Primary |
Addresses
Primary practice location
123 Springbrook Dr
Cornelia, GA 30531-5090
Mailing address
123 Springbrook Dr
Cornelia, GA 30531-5090
Phone (770) 654-0380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025963 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952392201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SPRINGBROOK DR",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305315090",
"telephone_number": "770-654-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SPRINGBROOK DR",
"city": "CORNELIA",
"state": "GA",
"postal_code": "305315090",
"telephone_number": "770-654-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "PAUL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "025963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.