Jimmy E Dixon, CIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

642 North Main St
Searcy, AR 72143

Phone

(870) 972-4939

Fax

(870) 972-4911

NPI assigned

Aug 10, 2011

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1992084701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 NORTH MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Poplar St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mc Crory",
            "state": "AR",
            "postal_code": "721018266",
            "country_code": "US",
            "telephone_number": "866-533-1757 x1713",
            "fax_number": "870-731-1457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Poplar St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mc Crory",
            "state": "AR",
            "postal_code": "721018266",
            "country_code": "US",
            "telephone_number": "866-533-1757 x1713",
            "fax_number": "870-731-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JIMMY",
        "middle_name": "E",
        "credential": "CIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Searcy, AR
• Addiction (Substance Use Disorder) Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.