MR. JOHN STUART DIRKSEN MD
NPI 1679570147
Psychiatry & Neurology - Psychiatry in Evans, GA

Active since June 30, 2005PECOS Enrolled
0/100
CMS Quality Rating
104 B SRP DR, EVANS, GA 30809(706) 210-8400(706) 210-8311 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Stuart Dirksen Md NPPES

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

MR. JOHN STUART DIRKSEN MD (NPI 1679570147) is an individual psychiatry provider in Evans, Georgia, licensed in Georgia (033771) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679570147
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. JOHN STUART DIRKSENCredential: MD
Location Address104 B SRP DREvans, GA 30809-3319
Mailing Address104 B Srp DrEvans, GA 30809-3319 · (706) 210-8400 · Fax (706) 210-8311
Fax(706) 210-8311
Sole ProprietorYes
Enumeration DateJune 30, 2005
Last NPPES UpdateOctober 3, 2012
NPI 1679570147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in GA · 033771
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
104 B SRP DR, Evans, GA 30809

Other Identifiers 3

Medicare UPINE41207GA
Other260048595GA · Railroad Medicare
Medicare ID-Type Unspecified26BVDBQGGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. John Stuart Dirksen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 John Dirksen's NPI number?

The NPI number for John Dirksen is 1679570147. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is John Dirksen located?

John Dirksen practices at 104 B Srp Dr, Evans, GA 30809. The listed phone number is (706) 210-8400.

What is John Dirksen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Dirksen enrolled in Medicare?

Yes. John Dirksen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Dirksen was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.