JENNIFER DIXON (NP) – Nurse Practitioner, NPI 1225637192

JENNIFER DIXON (NP) is a healthcare provider. based in Greensboro, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN-NP155484 (GA). The NPI Number for JENNIFER DIXON (NP) is 1225637192

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER DIXON (NP)
NPI
1225637192
Phone
(706) 453-1201
Address
803 S MAIN ST
Enumeration Date
22 October 2020
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
7064531201
Graduation Year
2020 (6 years ago)
PAC ID
4789094111
Group Practice PAC ID
0446232268
Professional Enrollment ID
I20201113000484
Address ID
GA306421211GR803XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JENNIFER DIXON (NP)

  • 803 S MAIN ST

    GREENSBORO, GA 306421211

    Phone: (706) 453-1201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201113000484INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30642)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446232268View full group profile
NameSpecialtyState
Physician AssistantGA
Internal MedicineGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YOK
Chiropractic, Nurse PractitionerGA
Internal MedicineGA
Family PracticeGA
P O D I A T R YGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What identifier follows JENNIFER DIXON (NP) across health systems?
The NPI 1225637192 uniquely identifies JENNIFER DIXON (NP) in U.S. healthcare data.
Does the public listing show JENNIFER DIXON (NP) as active?
JENNIFER DIXON (NP)'s NPI record reflects an active status in NPPES.
What services align with JENNIFER DIXON (NP)'s listing?
JENNIFER DIXON (NP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER DIXON (NP)?
JENNIFER DIXON (NP) shows a connection to Greensboro, Georgia in registry-derived data.
Can I export JENNIFER DIXON (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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