DIXIE MEDICAL
NPI 1669909172
Clinic/Center - Primary Care in Eastman, GA

Q: What is Dixie Medical's NPI number?

The NPI number for Dixie Medical is 1669909172. It was assigned to this organization in the NPPES registry on May 15, 2017.

Q: What is Dixie Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Dixie Medical was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 15, 2017CLIA 11D2133712 · Waiver

1085 PLAZA AVE, EASTMAN, GA 31023(478) 559-1386(478) 559-1388 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Sep 28, 2020, May 15, 2017 (3 updates tracked since 2017).

On this page

About Dixie Medical NPPES

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

DIXIE MEDICAL (NPI 1669909172) is a healthcare organization registered as a primary care in Eastman, Georgia and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Tonya Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1669909172

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameDIXIE MEDICAL

Location Address1085 PLAZA AVEEastman, GA 31023-9102

Mailing AddressPo Box 146Chauncey, GA 31011-0146 · (478) 559-1386 · Fax (478) 559-1388

Phone(478) 559-1386

Fax(478) 559-1388

Organization SubpartNo

Authorized OfficialTonya LewisOwner · (478) 559-1386

Enumeration DateMay 15, 2017

Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1669909172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in GA · RN118481

1085 PLAZA AVE, Eastman, GA 31023

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 11D2133712

Dixie Medical, LLC · Eastman, GA

Active · expires Jul 18, 2027

CLIA Number11D2133712

Laboratory TypePhysician Office

Certificate Effective DateJuly 19, 2025

Certificate Expiration DateJuly 18, 2027

Laboratory DirectorTonya Yawn-Lewis

Laboratory Phone(478) 559-1386

Laboratory LocationDixie Medical, LLC1085 Plaza Avenue, Eastman, GA 31023

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

HEART OF GEORGIA SURGERY ASSOCIATES, LLC

Surgery