DR. ELLIS HOWARD DIXON III (NPI# 1992883995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992883995 |
| Entity Type | Individual |
| Full Name | DR. ELLIS HOWARD DIXON III |
| Credential | MD |
| Practice Address |
1645 Tullie Cir Ne Atlanta GA 30329-2304 |
| Practice Telephone | 4047857130 |
| Practice Fax Number | 4047857989 |
| Mailing Telephone | 4047857130 |
| Mailing Fax Number | 4047857989 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
32549 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1645 TULLIE CIR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846961 | Peter Glen Strauss | Pediatrics | 1645 Tullie Cir Ne, Division of Pediatric Emergency Services, Atlanta, GA 30329-2304 | 2006-03-23 |
| 1821482449 | Deborah Leake | Nurse Practitioner | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2015-03-20 |
| 1982010146 | Caryn Robertson | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329 | 2014-07-09 |
| 1467870360 | Anita Bharath | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2014-03-29 |
| 1902237522 | Joseph Simon | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-12-07 |
| 1710322144 | Courtney Allen | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-04-29 |
| 1053754200 | Nehal Patel Bhandari | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-04-08 |
| 1184966921 | Amy Cheng | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-03-19 |
| 1528355880 | Kimberly Lauren Norris | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2011-07-06 |
| 1689965808 | Lauren Sullivan Middlebrooks | Pediatrics | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2011-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992150 | Erica Ann Bullard | Emergency Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-10-11 |
| 1629587654 | Lindsey Mccutchen Howard | Emergency Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-09-21 |
| 1982010146 | Caryn Robertson | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329 | 2014-07-09 |
| 1174968838 | Catherine Park | Emergency Medicine | 2015 Uppergate Dr Ne, Atlanta, GA 30322-2800 | 2013-05-07 |
| 1184966921 | Amy Cheng | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2013-03-19 |
| 1164712568 | Neil Daniel Cella | Emergency Medicine | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2011-04-19 |
| 1912163825 | Stephanie Fessler Arnold | Emergency Medicine | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2008-07-30 |
| 1447415096 | Bolanle Tokunbo Akinsola | Emergency Medicine | 1645 Tullie Cir Ne, Atlanta, GA 30329-2304 | 2008-07-23 |
| 1023271129 | Eiman Abdulrahman | Emergency Medicine | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2008-07-08 |
| 1790947430 | Sofia Shaheen Chaudhary | Emergency Medicine | 49 Jesse Hill Jr Dr Se, Emory University, Department of Pediatrics, Atlanta, GA 30303-3049 | 2008-06-25 |
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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.