MR. MELVIN DIXON CPO NPI 1083672695

NPI Information

  • NPI: 1083672695
  • Provider Name: MR. MELVIN DIXON, CPO
  • Classification: Orthotic Fitter - 225000000X
  • Entity Type: Individual
  • Address: 753 N INDIAN CREEK DR
    CLARKSTON, GA
    ZIP 30021
  • Phone: (404) 292-4200

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NPI Details

MR. Melvin Dixon, CPO is an orthotic fitter in Clarkston, GA. The provider is an individual trained in the management of fitting prefabricated orthoses. MR. Melvin Dixon, CPO NPI is 1083672695. 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:

753 N INDIAN CREEK DR
CLARKSTON, GA
ZIP 30021-347
Phone: (404) 292-4200
Fax: (404) 292-4247

The enumeration date for this NPI number is 5/3/2006 and was last updated on 11/6/2007.

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
1225000000XOrthotic FitterYes

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
100846513AMEDICAIDGEORGIA
21294340001MEDICARE NSCGEORGIA

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: 11/21/2025

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