JEROME ANTHONY DIXON D O P S C NPI 1508932955

NPI Information

  • NPI: 1508932955
  • Provider Name: JEROME ANTHONY DIXON D O P S C
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: JEROME A. DIXON, D.O., P.S.C.
  • Address: 150 W BEAR TRACK RD
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Phone: (270) 465-8133

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NPI Details

JEROME ANTHONY DIXON D O P S C is a family medicine in Campbellsville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JEROME ANTHONY DIXON D O P S C NPI is 1508932955. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Jerome A. Dixon, D.o., P.s.c..

The provider's business location address is:

150 W BEAR TRACK RD
CAMPBELLSVILLE, KY
ZIP 42718-709
Phone: (270) 465-8133
Fax: (270) 789-1543

The provider's authorized official is Jerome A. Dixon .
The authorized official title is President and has the following contact phone number (270) 465-8133.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/19/2014.

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
1363LF0000XNurse PractitionerFamily4091PKENTUCKYNo
2363LF0000XNurse PractitionerFamily3007692KENTUCKYNo
3207Q00000XFamily Medicine02320KENTUCKYYes

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
164023203MEDICAIDKENTUCKY
2E92006MEDICARE UPINKENTUCKY
38447MEDICARE PINKENTUCKY

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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