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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00846513A | 05 |
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 |
Street Address |
753 N INDIAN CREEK DR |
City | CLARKSTON |
State | GA |
Zip Code | 30021-2347 |
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 |
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 |
Find all providers in zip 30021 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
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. |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. MELVIN DIXON.
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.