MARLA TEAT DIXON PA-C NPI 1598814469

NPI Information

NPI: 1598814469
Provider Name: MARLA TEAT DIXON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NORTHEAST GEORGIA PHYSICIANS GROUP INC

PECOS Registration: Yes

Address:
2324 LIMESTONE OVERLOOK
GAINESVILLE, GA
ZIP 30501
Phone: (770) 536-8109
Get Directions

Marla Teat Dixon, PA-C is a medical physician assistant in Gainesville, GA with 21 years of experience. Marla Teat Dixon, PA-C NPI is 1598814469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

2324 LIMESTONE OVERLOOK
GAINESVILLE, GA
ZIP 30501-443
Phone: (770) 536-8109
Fax: (770) 536-3203

The NPI 1598814469 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), Power Mobility Devices.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 1/7/2021.

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
1	363A00000X	Physician Assistant		004138	GEORGIA	No
2	363AM0700X	Physician Assistant	Medical	004138	GEORGIA	Yes

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
1	654547969A	MEDICAID	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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