MYRLANDE DIXON


Address: 5380 Hickory Hollow Pkwy, Ste 201, Antioch, TN 37013-3117
Phone: 6158912070

MYRLANDE DIXON (NPI# 1922406297) 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) 1922406297
Entity Type Individual
Full Name MYRLANDE DIXON
Credential PA-C
Practice Address 5380 Hickory Hollow Pkwy
Ste 201
Antioch
TN 37013-3117
Practice Telephone 6158912070
Practice Fax Number 6158912056
Mailing Telephone 6158912070
Mailing Fax Number 6158912056
Enumeration Date 2014-12-18
Last Update Date 2017-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA9108246 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3055 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BC/BS Y0Q74 01
FL AETNA 5200868 01
FL CAREPLUS 1125636 01
FL LICENSE NUMBER PA9108246 01

Office Location

Street Address 5380 HICKORY HOLLOW PKWY
STE 201
City ANTIOCH
State TN
Zip Code 37013-3117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972052751 Seven Springs Orthopaedics and Sports Medicine Orthopaedic Surgery 5380 Hickory Hollow Pkwy, Ste 201, Antioch, TN 37013-3117 2016-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538706155 Aisha Lbhalla In Home Supportive Care 324 Schoolhouse Ct, Antioch, TN 37013 2019-12-02
1023516580 Aida Attia Faltas Pharmacist 608 Copper Rideg Trail, Antioch, TN 37013 2018-01-30
1700304839 Good Shepherd Pharmacy LLC Pharmacy 2717 B Murfreesboro Pike, Antioch, TN 37013 2017-09-08
1053836593 Inspired By Love Home Care, Inc. In Home Supportive Care 257 Maxwell Pl, Antioch, TN 37013 2017-08-05
1003354614 Bridgestone Pharmacy LLC Pharmacy 825 Hamilton Crossings, Antioch, TN 37013 2017-02-02
1215388947 Stattee Medical Transpoprtation Inc Non-emergency Medical Transport (VAN) 340 Schoolhouse Ct, Antioch, TN 37013 2016-06-23
1518313055 Alisha Lampley Counselor 804 Thomas Bay Court, Antioch, TN 37013 2016-05-13
1467821835 Clifton Mcdaniel Respiratory Therapist, Certified 3165 Skinner Dr, Antioch, TN 37013 2015-09-16
1497149884 Frank Hamilton Anderson Iv Family Medicine 2572 Treetop Dr, Antioch, TN 37013 2015-03-24
1013356757 Kevin Eugene Groh Physician Assistant 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 2013-06-16
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912296468 Richard Terry Washington Jr. Physician Assistant 5108 Singing Hills Dr, Antioch, TN 37013-5694 2011-04-05
1568915635 Cynthia V Molina Physician Assistant 4501 Sand Creek Rd, Antioch, CA 94531-8687 2016-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558987446 Caleb Stephens Physician Assistant 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 2020-06-17
1609308246 Robert Bryan Whisenhunt Physician Assistant Po Box 205, Tullahoma, TN 37388-0205 2017-04-02
1841744331 Jessica Leigh Cochran Physician Assistant 188 16th Ave Ste 107, Dayton, TN 37321-1037 2016-08-12
1841690096 Arun Alex Physician Assistant 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 2014-08-25
1174932107 Stephen Steffey Physician Assistant 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 2014-08-04
1932450301 Martha Pamela Guel Physician Assistant 2681 Honey Hill Rd, Knoxville, TN 37924-1159 2012-09-26
1578889549 Caryn Louise Mohr Physician Assistant 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 2010-04-14
1578895546 Carl H. Harris Physician Assistant 6946 Finch Rd, Memphis, TN 38141-8598 2010-02-02
1144463936 Marcus S. Burns Physician Assistant 2010 Church St Ste 700, Nashville, TN 37203-2072 2009-04-09
1780846428 Damon Troy Bartley Physician Assistant One Medical Park Blvd, Suite 458w, Bristol, TN 37620 2008-06-25
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Competitor

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City ANTIOCH
Zip Code 37013

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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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