NPI 1679977227 · live from the CMS NPI Registry
Mae Dixon, NP
Nurse Practitioner in Peachtree City, GA. National Provider Identifier 1679977227, active.
NPI record
| NPI | 1679977227 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 100 S Peachtree Pkwy, Peachtree City, GA 30269 |
| Practice phone | 404-948-3019 |
| Mailing address | 40 S Main St Ste 1300, Memphis, TN 38103 |
| Enumerated | October 10, 2014 |
| Last updated | February 28, 2023 |
| Sole proprietor | No |
| Other names | Mae Dixon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 1139741 (AL) |
| Nurse Practitioner, Family | 363LF0000X | RN177221 (GA) |
| Nurse Practitioner primary | 363L00000X | RN177221 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.