MIRIAM A. DICKSON M.D.
NPI 1669881470
Psychiatry & Neurology - Child & Adolescent Psychiatry in Ponte Vedra, FL
About Miriam A. Dickson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM A. DICKSON M.D. (NPI 1669881470) is an individual child & adolescent psychiatry provider in Ponte Vedra, Florida, licensed in Florida (ME135925) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miriam A. Dickson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Miriam Dickson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 703 clinicians in this Medicare group
Jacksonville, FL 32202
- Reassigned Medicare billing, Florida enrollment
- 31 clinicians in this Medicare group
Lakeland, FL 33805
- Reassigned Medicare billing, Florida enrollment
- 740 clinicians in this Medicare group
Plant City, FL 33566
- Reassigned Medicare billing, Florida enrollment
Chicago, IL 60623
- Reassigned Medicare billing, Illinois enrollment
- 383 clinicians in this Medicare group
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 77 clinicians in this Medicare group
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 Miriam Dickson's NPI number?
The NPI number for Miriam Dickson is 1669881470. It was assigned to this individual provider in the NPPES registry on August 5, 2014. The provider is also known as Miriam A Dickson MD.
Where is Miriam Dickson located?
Miriam Dickson practices at 601 Park Lake Dr, Ponte Vedra, FL 32081. The listed phone number is (305) 336-6406.
What is Miriam Dickson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Miriam Dickson enrolled in Medicare?
Yes. Miriam Dickson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Miriam Dickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Dickson reassigns Medicare benefits to 6 organizations: The Nemours Foundation (Jacksonville, FL), Im Sulzbacher Center For The Homeless, Inc (Jacksonville, FL), Lakeland Regional Health Systems, Inc. (Lakeland, FL), Comprehensive Family Health Center LLC (Plant City, FL), Erie Family Health Center Inc (Chicago, IL) and 1 more organization, listed in the Medicare section above. Each 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 Miriam Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miriam Dickson accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Miriam Dickson 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 Miriam Dickson was last updated on May 8, 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.
# Miriam A. Dickson, M.D. · NPI 1669881470
Child & Adolescent Psychiatry physician in Ponte Vedra, Florida. Individual provider, active in the CMS NPPES registry since August 5, 2014.
## Identity
- **NPI:** 1669881470 (Entity type: Individual)
- **Enumerated:** August 5, 2014
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** ME135925 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 PARK LAKE DR, Ponte Vedra, FL 32081-0869
- **Phone:** (305) 336-6406 · **Fax:** (904) 593-9456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The Nemours Foundation (NPI 1386658615, Jacksonville, FL); Im Sulzbacher Center For The Homeless, Inc (NPI 1710051354, Jacksonville, FL); Lakeland Regional Health Systems, Inc. (NPI 1497748743, Lakeland, FL); Comprehensive Family Health Center LLC (NPI 1932055951, Plant City, FL); Erie Family Health Center Inc (NPI 1043407547, Chicago, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** May 8, 2026
- **Other identifiers:** Medicaid 024884800 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1669881470) · Data from the CMS NPPES public registry.