Active NPI
Karen Michelle Dixon, FNP-C
- Family Medicine Physician
- Waverly, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35650
- Practice address
- 102 Hillwood Dr
Waverly, TN 37185-2116 - Phone
- (931) 296-3555
- Fax
- (931) 296-9085
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35650 | TN | Primary |
Addresses
Primary practice location
102 Hillwood Dr
Waverly, TN 37185-2116
Mailing address
102 Hillwood Dr
Waverly, TN 37185-2116
Phone (931) 296-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240320001203 | TN | Practitioner - Nurse Practitioner | 9133566656 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawrence Richard Jackson Jr MD
Practice addresses (Care Compare)
104 Hillwood Dr
Waverly, TN 37185-2116
Phone (931) 296-3555
Hospital & facility affiliations
- Home Care Solutions
- Amedisys Home Health
- Ascension Saint Thomas Three Rivers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35650 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Richard Jackson Jr. MD | Family Medicine | Current | Accepting new patients |
Locations
104 Hillwood Dr
Waverly, TN 37185
Phone (931) 296-3555
102 Hillwood Dr
Waverly, TN 37185
Phone (615) 441-4503
Interoperability endpoints
- karen.dixon.1@33486.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Waverly, TN
- NPI 1104021203
Family Medicine, TN
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Nashville, TN
- NPI 1689622466
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
Hospital
-
- Home Health Agency
- Dickson, TN
- NPI 1013175215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1992569206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HILLWOOD DR",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371852116",
"telephone_number": "931-296-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HILLWOOD DR",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371852116",
"telephone_number": "931-296-3555",
"fax_number": "931-296-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "KAREN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "35650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.