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DIXON FAMILY PRACTICE AND INTERNAL MEDICINE, LLC
NPI 1235135682
Clinic/Center - Rural Health in Dixon, MO

Active since June 21, 2005CLIA 26D0930428 · Waiver
206 WEST 2ND STREET, DIXON, MO 65459(573) 759-3030(573) 759-3131 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dixon Family Practice And Internal Medicine, Llc NPPES

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

DIXON FAMILY PRACTICE AND INTERNAL MEDICINE, LLC (NPI 1235135682) is a healthcare organization registered as a rural health in Dixon, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Carlene S Mcmillian, Owner, as its authorized official.

NPPES Registry Identity

NPI1235135682
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDIXON FAMILY PRACTICE AND INTERNAL MEDICINE, LLC
Location Address206 WEST 2ND STREETDixon, MO 65459-0940
Mailing AddressPo Box 9900Dixon, MO 65459-0940 · (573) 759-3030 · Fax (573) 759-3131
Phone(573) 759-3030
Fax(573) 759-3131
Organization SubpartNo
Authorized OfficialCarlene S McmillianOwner · (573) 759-3030
Enumeration DateJune 21, 2005
Last NPPES UpdateApril 29, 2008
✔ NPI 1235135682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MO · 263875
Also ListedFamily MedicineTaxonomy 207Q00000X · License R6D44 (MO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 113217 (MO)
206 WEST 2ND STREET, Dixon, MO 65459
Open in Google Maps ↗

Other Identifiers 7

Medicaid508937000MO
Medicare UPINP51939MO
Medicare ID-Type Unspecified263875MO · Medicare Rhc Prov Id
Medicare ID-Type Unspecified000013585MO · Medicare Part B
Medicare OSCAR/certification263875MO
Medicare PIN000013585MO
Medicaid598937001MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0930428

Dixon Family Practice Inc · Dixon, MO
Active · expires Jul 14, 2027
CLIA Number26D0930428
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorCarlene S. Mcmillian
Laboratory Phone(573) 759-3030
Laboratory LocationDixon Family Practice Inc206 West Second Street, Dixon, MO 65459
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HOMETOWN PHARMACY
Pharmacy (Community/Retail Pharmacy)
206 WEST 2ND STREET
DIXON, MO 65459
Pulaski County (573) 759-2230

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 Dixon Family Practice And Internal Medicine, LLC's NPI number?

The NPI number for Dixon Family Practice And Internal Medicine, LLC is 1235135682. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Dixon Family Practice And Internal Medicine, LLC located?

Dixon Family Practice And Internal Medicine, LLC is located at 206 West 2nd Street, Dixon, MO 65459. The listed phone number is (573) 759-3030.

What is Dixon Family Practice And Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Dixon Family Practice And Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0930428) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dixon Family Practice And Internal Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Dixon Family Practice And Internal Medicine, LLC 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 Dixon Family Practice And Internal Medicine, LLC was last updated on April 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.