Candida Dixon (NPI# 1104489186, PAC ID# 2264775022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104489186 |
| PAC ID by PECOS | 2264775022 |
| Professional Enrollment ID | I20190517000650 |
| Full Name | Candida Dixon |
| Organization Legal Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
| Address |
58 W Hwy 80e 2 Hindman KY 41822 |
| Phone Number | 6067851300 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971415993 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180029 | HAZARD ARH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 58 W Hwy 80e 2, Hindman, KY 41822 | 6067851300 | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
| Organization Legal Name | PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita Nicole Fletcher | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 21992 Main St, Hyden, KY 41749-8567 |
| Christie D Herald | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 10897s Ky Hwy 15, Scuddy, KY 41760-9033 |
| Beverly P Neace | Physician Assistant | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Joann Carroll | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Christina Martin | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Rhonda K Hughes | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 21992 Main St, Hyden, KY 41749-8567 |
| Leslie Deaton | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Shannon Herald Combs | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Crystal D Gibson | Physician Assistant | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Sherry L Miller | Physician Assistant | Primary Care Centers of Eastern Kentucky, LLC | 101 Town and Country Ln, Suite 100, Hazard, KY 41701-9524 |
| Street Address |
58 W HWY 80E 2 |
| City | HINDMAN |
| State | KY |
| Zip | 41822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christie L Wooton | Nurse Practitioner | Primary Care Centers of Eastern Kentucky, LLC | 58 W Hwy 80e 2, Hindman, KY 41822 |
| Amy Fowler | Internal Medicine | Primary Care Centers of Eastern Kentucky, LLC | 58 W Hwy 80e 2, Hindman, KY 41822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucreasie R Lewis | Nurse Practitioner | Kentucky River District Health Department | 880 W Main St, Hindman, KY 41822-8004 |
| Warren G Stumbo | Family Medicine | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Melissa Moore | Nurse Practitioner | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Tansy Lee Hall | Nurse Practitioner | East Ky Health Service Center | 566 Hwy 899, Hindman, KY 41822-8955 |
| Kevin Davis | Physician Assistant | 70 Holly Hills Mall Rd, Hindman, KY 41822-9121 |
| City | HINDMAN |
| Zip Code | 41822 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HINDMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Candida Dixon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.