MRS. TARA J DIXON (NPI# 1598956120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598956120 |
| Entity Type | Individual |
| Full Name | MRS. TARA J DIXON |
| Credential | NP |
| Practice Address |
4226 Hartley Bridge Rd Suite 104 Macon GA 31216-4116 |
| Mailing Address |
4226 Hartley Bridge Road Suite 104 Macon GA 31216-4116 |
| Practice Telephone | 4787815065 |
| Practice Fax Number | 4787810012 |
| Mailing Telephone | 4787815065 |
| Mailing Fax Number | 4787810012 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2013-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN159360 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | P00475216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619405941 | Tara Dawn Dixon | Student in an Organized Health Care Education/Training Program | 325 9th Ave, King County Medical Examiners Office, Seattle, WA 98104 | 2017-05-31 |
| 1275078826 | Tara Dixon | Counselor | 10473 Old Hammond Hwy, Baton Rouge, LA 70816-8264 | 2017-01-05 |
| 1194171892 | Tara Rene Dixon | Nurse Practitioner | 120 Pine Ave N, Oldsmar, FL 34677-4629 | 2016-05-11 |
| 1841616810 | Tara Dixon | Counselor | 1035 S Semoran Blvd, Suite 1047, Winter Park, FL 32792-5526 | 2014-03-13 |
| 1942434246 | Tara Dixon | Counselor | 45-021 Likeke Pl, Kaneohe, HI 96744-2426 | 2009-05-14 |
| 1699915991 | Tara L Dixon | Respiratory Therapist, Registered | 1959 Ne Pacific St, Box 356172, Seattle, WA 98195-6172 | 2009-02-26 |
| 1982798229 | Tara D Dixon | Surgery | 3181 Sw Sam Jackson Park Road, Surgery Dept L223, Portland, OR 97213 | 2006-10-03 |
| Street Address |
4226 HARTLEY BRIDGE RD SUITE 104 |
| City | MACON |
| State | GA |
| Zip Code | 31216-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932278744 | Diane M. Craine | Nurse Practitioner | 4226 Hartley Bridge Rd, Suite 104, Macon, GA 31216-4115 | 2006-11-07 |
| 1427127216 | Sharon K Broom | Nurse Practitioner | 4226 Hartley Bridge Rd, Suite 104, Macon, GA 31216-4115 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
| 1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
| 1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
| 1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
| 1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
| 1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| 1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| Find all providers in zip 31216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
| 1427664465 | Shanna Lynn Beaulieu | Nurse Practitioner | 781 Spring St Ste 230, Macon, GA 31201-2185 | 2020-09-16 |
| 1467070557 | Raquel Simmons | Nurse Practitioner | 670 Ivy Brook Way, Macon, GA 31210-5520 | 2020-07-06 |
| 1174159800 | Jamie K Polk | Nurse Practitioner | 3951 Ridge Ave Ste C, Macon, GA 31210-5064 | 2020-03-13 |
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1730730581 | Lindsay Fernandez | Nurse Practitioner | 102 Saint Johns Pl, Macon, GA 31210-8606 | 2019-09-24 |
| 1003468240 | Skylar Nelson | Nurse Practitioner | 330 Hospital Dr Ste 200, Macon, GA 31217-8034 | 2019-07-09 |
| 1861051880 | Courtney Elizabeth Avery | Nurse Practitioner | 540 Charter Blvd Ste 400, Macon, GA 31210-4882 | 2019-06-12 |
| 1376101196 | Detra K Dixon | Nurse Practitioner | 227 Amalie Dr, Macon, GA 31220-2667 | 2019-06-05 |
| Find all providers in MACON | ||||
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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.