NPIMap

Individual provider Active NPI

Robert Lloyd Dickson, DO

  • Family Medicine Physician
  • Killen, AL
National Provider Identifier
1982198594
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2186 Issued in AL
Practice address
351 Highway 64
Killen, AL 35645-4829
Phone
(256) 272-8066
Fax
(256) 272-8375
NPI assigned
Jun 18, 2018
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.2186 AL Primary

Addresses

Primary practice location

351 Highway 64
Killen, AL 35645-4829

Mailing address

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Other practice location 1

1106 N Cave St Ste 300
Tuscumbia, AL 35674-1358
Phone (256) 383-4447

Other practice location 2

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106002313 AL Practitioner - Family Practice 4789933433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of the Shoals, P.C.Group PAC ID 1456317833, 24 clinicians

Practice addresses (Care Compare)

1120 S Jackson Hwy
Suite 300
Sheffield, AL 35660-5773
Phone 2563834447104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as individual
Quality
86.98
Promoting interoperability
100
Improvement activities
40
Cost
89.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.2186ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Shoals, P.C. Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Northwest Alabama Radiology Associates LLC Past Accepting new patients

Locations

2735 Cloverdale Rd
Florence, AL 35633
Phone (256) 415-4005

351 Highway 64
Killen, AL 35645
Phone (256) 272-8066

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660
Phone (256) 383-4447

1106 N Cave St
Tuscumbia, AL 35674
Phone (256) 386-0558

1106 N Cave St
Ste 300
Tuscumbia, AL 35674
Phone (256) 383-4447

Interoperability endpoints

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

Organizations & group practices 2

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 9

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1982198594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HIGHWAY 64",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356454829",
            "telephone_number": "256-272-8066",
            "fax_number": "256-272-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N Cave St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tuscumbia",
            "state": "AL",
            "postal_code": "356741358",
            "country_code": "US",
            "telephone_number": "256-383-4447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 S Jackson Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356605773",
            "country_code": "US",
            "telephone_number": "256-383-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "ROBERT",
        "middle_name": "LLOYD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killen, AL

Sources for this page

Verify at the official NPI Registry.