Provider Type Icon

DR. MICHAEL WADE DIXON DPM NPI 1477557924


NPI Information

NPI: 1477557924
Provider Name: DR. MICHAEL WADE DIXON, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
440 ERNEST W BARRETT PKWY NW
STE 62
KENNESAW, GA
ZIP 30144
Phone: (770) 422-0280
Get Directions

DR. Michael Wade Dixon, DPM is a podiatrist in Kennesaw, GA with 24 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Michael Wade Dixon, DPM NPI is 1477557924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

440 ERNEST W BARRETT PKWY NW
STE 62
KENNESAW, GA
ZIP 30144-918
Phone: (770) 422-0280
Fax: (770) 426-5388

The NPI 1477557924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 6/10/2005 and was last updated on 1/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0000XPodiatristSports Medicine000961GEORGIANo
2213ES0103XPodiatristFoot & Ankle Surgery000961GEORGIANo
3213ES0131XPodiatristFoot Surgery000961GEORGIANo
4213E00000XPodiatrist000961GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
148SCCNKMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE PROVIDER #
2000954643BMEDICAIDGEORGIA
3U88000MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.