JERRY DIXON JR. (NPI# 1467091371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467091371 |
| Entity Type | Individual |
| Full Name | JERRY DIXON JR. |
| Practice Address |
14337 Highway 12 W Kosciusko MS 39090-3689 |
| Mailing Address |
Po Box 1224 Kosciusko MS 39090-1224 |
| Practice Telephone | 6627052210 |
| Mailing Telephone | 6627052210 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821193129 | Jerry Wayne Dixon | Pharmacist | 174 Perry House Rd, Fitzgerald, GA 31750-8838 | 2006-09-13 |
| 1316970148 | Jerry W Dixon | Surgery | 3 Medical Park Dr, 201, Benton, AR 72015-3728 | 2006-07-07 |
| Street Address |
14337 HIGHWAY 12 W |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447618855 | Christopher Jones | Non-emergency Medical Transport (VAN) | 108 W Haven Dr, Kosciusko, MS 39090-3536 | 2016-02-01 |
| 1558739268 | L&m Transportation | Non-emergency Medical Transport (VAN) | 2063 Attala Road 5022, Kosciusko, MS 39090-8602 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116713 | Harold Cooper | Non-emergency Medical Transport (VAN) | 790 County Road 101, Abbeville, MS 38601-9663 | 2020-08-30 |
| 1093327884 | T & T Nemt Services, LLP | Non-emergency Medical Transport (VAN) | 2927 Highway 532, Taylorsville, MS 39168-4633 | 2020-08-21 |
| 1851903264 | Irvin Charles Jackson | Non-emergency Medical Transport (VAN) | 327 East Street, Shubuta, MS 39360 | 2020-08-18 |
| 1891304234 | Catrina D Kitchens | Non-emergency Medical Transport (VAN) | 212 N Bierdeman Rd, Pearl, MS 39208-4611 | 2020-07-30 |
| 1073131835 | Moral Lyft | Non-emergency Medical Transport (VAN) | 615a Govan Ave, Holly Springs, MS 38635-2110 | 2020-07-08 |
| 1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
| 1194346676 | Watson Transportation Com LLC | Non-emergency Medical Transport (VAN) | 630 Norris St, Greenville, MS 38703-6042 | 2020-05-06 |
| 1851910830 | Stepping Out Transportation Service LLC | Non-emergency Medical Transport (VAN) | 523 Brentwood Ave, Greenwood, MS 38930-6910 | 2020-04-10 |
| 1275169773 | Bruce Edward Hunt | Non-emergency Medical Transport (VAN) | 116 Pine Dr, Hattiesburg, MS 39401-8408 | 2020-03-16 |
| 1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| 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.