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
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 MD 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Home Care Solutions Home health agency, Spring Hill, TN, CCN 447513
  • Amedisys Home Health Home health agency, Nashville, TN, CCN 447206
  • Ascension Saint Thomas Three Rivers Hospital, Waverly, TN, CCN 441303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35650TNMDFamily Medicine Physician

Practice roles

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

  • 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 and National Provider Directory roles.

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.