SLOCUM DICKSON MEDICAL GROUP PLLC
NPI 1285625996
Clinic/Center in New Hartford, NY
About Slocum Dickson Medical Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SLOCUM DICKSON MEDICAL GROUP PLLC (NPI 1285625996) is a healthcare organization registered as a clinic/center in New Hartford, New York and active in the NPI registry since November 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Stephen D. Eadline, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Slocum Dickson Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Slocum Dickson Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 21
Nearest to this location (20)
See all 68New Hartford, NY 13413
New Hartford, NY 13413
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 33D0166962
Slocum-Dickson Medical Group, PLLC · New Hartford, NYFrequently 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 Slocum Dickson Medical Group PLLC's NPI number?
The NPI number for Slocum Dickson Medical Group PLLC is 1285625996. It was assigned to this organization in the NPPES registry on November 2, 2005.
Where is Slocum Dickson Medical Group PLLC located?
Slocum Dickson Medical Group PLLC is located at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1700.
What is Slocum Dickson Medical Group PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Slocum Dickson Medical Group PLLC enrolled in Medicare?
Yes. Slocum Dickson Medical Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Slocum Dickson Medical Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 21 Medicare specialties reassign their Medicare billing to Slocum Dickson Medical Group PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Internal Medicine (8) and Family Practice (6). Of these, 3 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Slocum Dickson Medical Group PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0166962) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Slocum Dickson Medical Group PLLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Slocum Dickson Medical Group Pllc · NPI 1285625996
Clinic/Center organization in New Hartford, New York. Organization record, active in the CMS NPPES registry since November 2, 2005.
## Identity
- **NPI:** 1285625996 (Entity type: Organization)
- **Enumerated:** November 2, 2005
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Stephen Eadline, PRESIDENT
## Practice location
- **Address:** 1729 BURRSTONE RD, New Hartford, NY 13413-1001
- **Phone:** (315) 798-1700 · **Fax:** (315) 798-1707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 21 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Internal Medicine (8), Family Practice (6); 3 practice at this address and 58 within 10 miles; [full list](https://npiprofile.com/npi/1285625996/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2021
- **Other identifiers:** Medicaid 02995013 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285625996) · Data from the CMS NPPES public registry.