DR. MICHAEL WADE DIXON (NPI# 1477557924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477557924 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WADE DIXON |
| Credential | DPM |
| Practice Address |
440 Ernest W Barrett Pkwy Nw Ste 62 Kennesaw GA 30144-4918 |
| Practice Telephone | 7704220280 |
| Practice Fax Number | 7704265388 |
| Mailing Telephone | 7704220280 |
| Mailing Fax Number | 7704265388 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2014-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000961 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
000961 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000961 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000961 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000954643B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124515689 | Michael Ray Dixon | Counselor | 13037 Us Highway 64 Alt W, Rocky Mount, NC 27801-9774 | 2018-04-19 |
| 1801307327 | Michael Wesley Dixon | Military Health Care Provider | 4008 Buchanan Dr, Hampton, VA 23669-4608 | 2017-10-24 |
| 1124208210 | Michael O Dixon | Nutritionist | 15713 Haynes Rd, Laurel, MD 20707-3303 | 2007-11-06 |
| 1679694608 | Michael V Dixon | Physician Assistant | 420 W Acacia St Ste 2, Stockton, CA 95203-2441 | 2007-04-03 |
| 1174686570 | Michael L. Dixon | Chiropractor | 1815 Suburban Ave, Saint Paul, MN 55119-4302 | 2006-12-18 |
| 1427141522 | Michael Ray Dixon | Psychologist | 1730 Belmont, Parsons, KS 67357-0258 | 2006-10-02 |
| 1760593024 | Michael Evan Dixon | Dentist | 410 Yearick St, Argos, IN 46501-1036 | 2006-08-31 |
| 1053322776 | Michael Benjamin Dixon | Dentist | 3380 E Wilson St, Farmville, NC 27828 | 2006-08-10 |
| 1932161023 | Michael S Dixon | Psychologist | 126 Everett Rd, Auburn, ME 04210-8545 | 2006-04-04 |
| 1104478668 | Michael Aron Dixon | Nurse Practitioner | 1098 Kennedy Dr, Ambridge, PA 15003-2314 | 2019-07-15 |
| Street Address |
440 ERNEST W BARRETT PKWY NW STE 62 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757328 | Christopher Derrill Jones | Hearing Instrument Specialist | 440 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144-4918 | 2013-05-14 |
| 1508986126 | Peter John Pomazon | Dentist | 440 Ernest W Barrett Pkwy Nw, Suite 29, Kennesaw, GA 30144-4918 | 2007-03-29 |
| 1750401295 | Kelly Ray Gober | Dentist | 440 Ernest W Barrett Pkwy Nw, Suite 29, Kennesaw, GA 30144-4918 | 2007-03-29 |
| 1275642498 | Wim Lippers | Physical Therapist | 440 Ernest W Barrett Pkwy Nw, Ste 58, Kennesaw, GA 30144-4918 | 2006-08-30 |
| 1447245204 | Katen Management Corporation | Durable Medical Equipment & Medical Supplies | 440 Ernest W Barrett Pkwy Nw, Suite 15, Kennesaw, GA 30144-4918 | 2005-09-16 |
| 1689671273 | Barrett Parkway Foot and Leg | Podiatrist | 440 Ernest W Barrett Pkwy Nw, Ste 62, Kennesaw, GA 30144-4918 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548168 | Evan M Brody | Podiatrist | 5205 Stilesboro Rd Nw Ste 205, Kennesaw, GA 30152-7765 | 2006-02-20 |
| 1104816941 | Michael S. Miller | Podiatrist | 3450 Acworth Due West Rd, Suite 320, Kennesaw, GA 30144-1002 | 2005-10-24 |
| 1215220090 | Georgia Podiatry, Inc | Podiatrist | 5205 Stilesboro Rd Nw Ste 205, Kennesaw, GA 30152-7765 | 2011-05-26 |
| 1134360175 | Erin Jeannine Cupolo | Podiatrist | 5205 Stilesboro Rd Nw Ste 205, Kennesaw, GA 30152-7765 | 2009-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| 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.