Individual provider Active NPI

Karen Michelle Dixon, FNP-C

  • Family Medicine Physician
  • Waverly, TN
National Provider Identifier
1992569206
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35650 Issued in TN
Practice address
102 Hillwood Dr
Waverly, TN 37185-2116
Phone
(931) 296-3555
Fax
(931) 296-9085
NPI assigned
Feb 7, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 MDGroup PAC ID 1557350154, 2 clinicians

Practice addresses (Care Compare)

104 Hillwood Dr
Waverly, TN 37185-2116
Phone (931) 296-3555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Richard Jackson Jr. MD Family Medicine CurrentSince Feb 12, 2024 Accepting new patients

Locations

102 Hillwood Dr
Waverly, TN 37185
Phone (615) 441-4503

104 Hillwood Dr
Waverly, TN 37185
Phone (931) 296-3555

Interoperability endpoints

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.