DR. JERRY ERVIN DICKSON M.D.
NPI 1285757112
Specialist in Houston, TX

Active since April 07, 2007Opted out of Medicare · through Jan 1, 2027
8945 LONG POINT RD, SUITE 101, HOUSTON, TX 77055(713) 461-8400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jerry Ervin Dickson M.d. NPPES

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

DR. JERRY ERVIN DICKSON M.D. (NPI 1285757112) is an individual specialist in Houston, Texas, licensed in Texas (D4091) and active in the NPI registry since April 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285757112
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JERRY ERVIN DICKSONCredential: M.D.
Location Address8945 LONG POINT RD, SUITE 101Houston, TX 77055-3034
Mailing Address8945 Long Point Rd, Suite 101Houston, TX 77055-3034 · (713) 461-8400
Sole ProprietorYes
Enumeration DateApril 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285757112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · D4091
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8945 LONG POINT RD, Houston, TX 77055

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jerry Ervin Dickson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
8945 LONG POINT RD, 212
HOUSTON, TX 77055
Internal Medicine (Gastroenterology)
8945 LONG POINT RD, SUITE 115
HOUSTON, TX 77055
Clinic/Center (Primary Care)
8945 LONG POINT RD, #114
HOUSTON, TX 77055
Specialist/Technologist (Athletic Trainer)
8945 LONG POINT RD, #209
HOUSTON, TX 77055

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 Jerry Dickson's NPI number?

The NPI number for Jerry Dickson is 1285757112. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Jerry Dickson located?

Jerry Dickson practices at 8945 Long Point Rd Suite 101, Houston, TX 77055. The listed phone number is (713) 461-8400.

What is Jerry Dickson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jerry Dickson enrolled in Medicare?

No. Jerry Dickson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jerry Dickson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.