DOROTHY DIXON (NPI# 1689946808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689946808 |
| Entity Type | Organization |
| Organization Name | DOROTHY DIXON |
| Practice Address |
552 Creekwood Rd Douglas GA 31535-1918 |
| Mailing Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9123840824 |
| Practice Fax Number | 9124497060 |
| Mailing Telephone | 9124497111 |
| Mailing Fax Number | 9124497060 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | BOBBY BROWN (CEO) |
| Authorized Official Telephone | 9124497111 |
| Is Organization Subpart | Y |
| Parent Organization Name | SATILLA COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
552 CREEKWOOD RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31535-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740423268 | Lacey N Yeomans | Speech-Language Pathologist | 3891 Quail Hollow Village, Douglas, GA 31535 | 2009-04-14 |
| 1912549353 | Monica Sherise Dill | Case Manager/Care Coordinator | 566 Forest Hills Dr, Douglas, GA 31535-2420 | 2019-10-16 |
| 1881924066 | Air Evac Ems Inc. | Ambulance | 195 Thomas Frier Dr, Douglas, GA 31535-4011 | 2010-01-11 |
| 1407491467 | Aretha Mizell | Contractor | 925 Kamera Rd, Douglas, GA 31535-4345 | 2019-11-14 |
| 1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
| 1164049615 | Bonnie Dee Whitfield | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-07-01 |
| 1851991095 | Smart Choice Nutrition | Dietitian, Registered | 1865 Bear Creek Rd, Douglas, GA 31535-4680 | 2020-10-27 |
| 1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
| 1124527007 | Healthstat Onsite Clinic-coats Douglas | Preventive Medicine | 1401 Pope Dr, Douglas, GA 31535-5923 | 2018-02-07 |
| 1194140103 | Kaczor Enterprises Inc | Ambulance | 55 Dellmonte Rd, Douglas, GA 31535-6135 | 2014-02-27 |
| Find all providers in zip 31535 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1831659473 | The Kiddo's Club LLC | Community/Behavioral Health | 3319 W Lariat Ln, Douglas, AZ 85607-6147 | 2019-03-20 |
| 1124584644 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd Street, Douglas, AK 99824 | 2019-02-20 |
| 1932620390 | Southeastern Arizona Behavioral Health Service, Inc | Community/Behavioral Health | 936 F Ave Ste B, Douglas, AZ 85607-2024 | 2017-07-06 |
| 1407262512 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 661 N G Ave, Douglas, AZ 85607-2105 | 2014-07-09 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1669899373 | Pinal Hispanic Council | Community/Behavioral Health | 1930 E 11th St, Douglas, AZ 85607-2413 | 2014-03-20 |
| 1346675394 | Corazon Inc. | Community/Behavioral Health | 936 F Ave Ste A&b, Douglas, AZ 85607-2001 | 2013-09-10 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1295907608 | Child & Family Resources, Inc. | Community/Behavioral Health | 855 Cochise Ave, Douglas, AZ 85607-3440 | 2008-03-25 |
| Find all providers in DOUGLAS | ||||
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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.