DOROTHY DIXON
NPI 1689946808
Community/Behavioral Health in Douglas, GA

Active since February 03, 2012
552 CREEKWOOD RD, DOUGLAS, GA 31535(912) 384-0824(912) 449-7060 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About DOROTHY DIXON

This page provides the complete NPI Profile along with additional information for Dorothy Dixon, a provider established in Douglas, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1689946808 assigned on February 2012. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Bobby Brown (Ceo)

NPI
1689946808 Verify this NPI
Provider Name
DOROTHY DIXON
Entity Type
Organization
Location Address
552 CREEKWOOD RD DOUGLAS, GA 31535
Location Phone
(912) 384-0824
Location Fax
(912) 449-7060
Mailing Address
1007 MARY ST WAYCROSS, GA 31503
Mailing Phone
(912) 449-7111
Mailing Fax
(912) 449-7060
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-03-2012
Last Update Date
02-03-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BOBBY BROWN

Authorized Official Title
CEO
Authorized Official Phone
(912) 449-7111

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689946808, enumerated as an "organization" on February 03, 2012.

The provider is located at 552 CREEKWOOD RD DOUGLAS, GA 31535 and the phone number is (912) 384-0824.

Community/Behavioral Health with taxonomy code 251S00000X.