MR. MELVIN DIXON


Address: 753 N Indian Creek Dr, Clarkston, GA 30021-2347
Phone: 4042924200

MR. MELVIN DIXON (NPI# 1083672695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083672695
Entity Type Individual
Full Name MR. MELVIN DIXON
Credential CPO
Practice Address 753 N Indian Creek Dr
Clarkston
GA 30021-2347
Practice Telephone 4042924200
Practice Fax Number 4042924247
Mailing Telephone 4042924200
Mailing Fax Number 4042924247
Enumeration Date 2006-05-03
Last Update Date 2007-11-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00846513A 05

Other Providers MELVIN DIXON

NPI Name Taxonomy Address Enumeration
1376508655 Melvin Morgan Dixon Dentist 151 W Speedway Blvd, Tucson, AZ 85705-7613 2006-04-19
1417460189 Melvin Alex Dixon IIi Pharmacist 700 E Derenne Ave, Savannah, GA 31405-6716 2017-11-15

Office Location

Street Address 753 N INDIAN CREEK DR
City CLARKSTON
State GA
Zip Code 30021-2347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295916344 Premier Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 753 N Indian Creek Dr, Clarkston, GA 30021-2347 2007-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578081808 Marqueta A Coffer Case Manager/Care Coordinator 1380 Brockett Pl, Clarkston, GA 30021 2017-09-07
1063965143 Bertukan Worku Demas Pharmacist 3671 Cobble Mill Ln, Clarkston, GA 30021 2016-07-26
1912341967 Esther Kim Family Medicine 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 2013-04-22
1265739437 Carepoint Home Care, LLC In Home Supportive Care 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 2011-02-23
1790956530 Thu D. Vu Dentist 3596 Hill Street, Clarkston, GA 30021 2008-03-20
1740310630 Gentle Dental Dentist 3595 Hill St., Clarkston, GA 30021 2007-03-07
1679528491 Ojoru Osunkoya Pediatrics 4112 E. Ponce De Leon, Clarkston, GA 30021 2006-05-23
1700849825 Regina Allen Hardin Pediatrics 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 2006-04-10
1831514538 Caudelle & Wilson Eye Care LLC Optometrist 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 2014-03-04
1881865624 Vanessa Phan Dentist 3596 Hill Street, Clarkston, GA 30021 2008-03-20
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Taxonomy Information

Taxonomy Code 225000000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotic Fitter

Taxonomy Definition

An individual trained in the management of fitting prefabricated orthoses.
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972075117 Alan Medford Orthotic Fitter 1020 Angelo Ct Ne, Atlanta, GA 30319-1042 2018-12-28
1508105875 Wayne Washington Orthotic Fitter 422 E Park Ave, Valdosta, GA 31602-3036 2013-02-06
1376869263 Lyvetta Walker Marshall Orthotic Fitter 187 Hightower Dr, Suite B, Martinez, GA 30907-8405 2010-04-16
1508923020 Allison Boynton Beck Orthotic Fitter 156 N Main Street, Clayton, GA 30525 2007-01-03
1093881708 Sheryl Avon Skipper Orthotic Fitter 118 S Madison St Ste 1, Thomasville, GA 31792-5400 2006-11-27
1750480901 Advanced Diabetic Solutions LLC Orthotic Fitter 1580 Atkinson Rd, Lawrenceville, GA 30043-5600 2006-09-22
1356450209 Bari F Levens Orthotic Fitter 1303 Dantignac Street, Suite 1000, Augusta, GA 30901-2776 2006-08-30
1255397147 Jeffery Dean Parson Orthotic Fitter 1619 John Orr Drive, Tifton, GA 31794-3640 2006-04-21
1821269887 Ehteshamul Haque Orthotic Fitter 4820 Armour Rd, Suite A-4, Columbus, GA 31904-5296 2008-03-18
1366623878 Gregory Allen Hankins Orthotic Fitter 1670 Clairmont Rd, Decatur, GA 30033-4004 2007-11-27
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Competitor

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City CLARKSTON
Zip Code 30021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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