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JEROME A DIXON D O LLC
NPI 1508932955
Family Medicine in Campbellsville, KY

Active since November 28, 2006
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718(270) 465-8133(270) 789-1543 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerome A Dixon D O Llc NPPES

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

JEROME A DIXON D O LLC (NPI 1508932955), doing business as Jerome A. Dixon, D.o., P.s.c., is a healthcare organization registered as a family medicine in Campbellsville, Kentucky and active in the NPI registry since November 2006. The organization lists Nissan Friedman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508932955
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEROME A DIXON D O LLC
Location Address150 W BEAR TRACK RDCampbellsville, KY 42718-8709
Mailing Address150 W Bear Track RdCampbellsville, KY 42718-8709 · (270) 465-8133 · Fax (270) 789-1543
Phone(270) 465-8133
Fax(270) 789-1543
Organization SubpartNo
Authorized OfficialNissan FriedmanChief Executive Officer · (845) 521-9991
Enumeration DateNovember 28, 2006
Last NPPES UpdateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1508932955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 02320
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3007692 (KY), 4091P (KY)
150 W BEAR TRACK RD, Campbellsville, KY 42718
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Other Names 1

Doing Business AsJerome A. Dixon, D.o., P.s.c.

Other Identifiers 1

Medicaid64023203KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerome A Dixon D O Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jerome A Dixon D O LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jerome Dixon, D.O.
Family Practice
NPI 1215919451
150 W BEAR TRACK RD
Campbellsville, KY 42718
(270) 465-8133
✔ PECOS✔ Accepts MedicareSame address
Kevin Graves, DO
Family Practice
NPI 1164765582
120 N 4TH ST
Barlow, KY 42024
(270) 334-3131
✔ PECOS✔ Accepts Medicare206 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jerome A Dixon D O LLC's NPI number?

The NPI number for Jerome A Dixon D O LLC is 1508932955. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Jerome A. Dixon, D.O., P.S.C..

Where is Jerome A Dixon D O LLC located?

Jerome A Dixon D O LLC is located at 150 W Bear Track Rd, Campbellsville, KY 42718. The listed phone number is (270) 465-8133.

What is Jerome A Dixon D O LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerome A Dixon D O LLC enrolled in Medicare?

Yes. Jerome A Dixon D O LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerome A Dixon D O LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Jerome A Dixon D O LLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jerome A Dixon D O LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jerome A Dixon D O 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 Jerome A Dixon D O LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.