JOAN VAUGHN DICKERSON MD
NPI 1033539259
Pediatrics in Concord, NC

Q: What is Joan Dickerson's NPI number?

The NPI number for Joan Dickerson is 1033539259. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Q: What is Joan Dickerson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Dickerson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2014PECOS Enrolled

920 CHURCH ST N, CONCORD, NC 28025(704) 403-3664 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 12 more (15 updates tracked since 2017).

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About Joan Vaughn Dickerson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAN VAUGHN DICKERSON MD (NPI 1033539259) is an individual pediatrics provider in Concord, North Carolina, licensed in North Carolina (2018-02086) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1033539259

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJOAN VAUGHN DICKERSONCredential: MD

Location Address920 CHURCH ST NConcord, NC 28025-2927

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 403-3664

Sole ProprietorNo

Enumeration DateApril 28, 2014

Last NPPES UpdateJuly 15, 202415 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1033539259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2018-02086

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 2018-02086 (NC)

920 CHURCH ST N, Concord, NC 28025

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Secondary Practice Location 1

Location 11001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan Vaughn Dickerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONARD ALEXANDER STALLINGS MD

Emergency Medicine

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

PATRICK TWUM-BARIMAH MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

SHIVANGI MANU PATEL PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-3664

TONY RAY HINSON MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

AISHWARYA PALWAI MD

Internal Medicine (Critical Care Medicine)

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

MARLEE BODLE CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1412

NATALIA KOHL BECKER PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (952) 237-6564

CABARRUS MEMORIAL HOSPITAL

Home Health

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 783-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Dickerson's NPI number?

The NPI number for Joan Dickerson is 1033539259. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Joan Dickerson located?

Joan Dickerson practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-3664.

What is Joan Dickerson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Joan Dickerson enrolled in Medicare?

Yes. Joan Dickerson is registered in the Medicare PECOS enrollment system.

What insurance does Joan Dickerson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Joan Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joan Dickerson was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.