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NIX DIRECT ACCESS PEDIATRICS PC
NPI 1720727753
Pediatrics - Adolescent Medicine in Mitchellville, MD

Active since May 27, 2022
10274 LAKE ARBOR WAY STE 201, MITCHELLVILLE, MD 20721(301) 823-5999(301) 823-5990 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2024, May 27, 2022 (2 updates tracked since 2022).

About Nix Direct Access Pediatrics Pc NPPES

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

NIX DIRECT ACCESS PEDIATRICS PC (NPI 1720727753) is a healthcare organization registered as an adolescent medicine in Mitchellville, Maryland and active in the NPI registry since May 2022. The organization lists Kijana N Nix, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720727753
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameNIX DIRECT ACCESS PEDIATRICS PC
Location Address10274 LAKE ARBOR WAY STE 201Mitchellville, MD 20721-3146
Mailing Address10274 Lake Arbor Way Ste 201Mitchellville, MD 20721-3146 · (301) 823-5999 · Fax (301) 823-5990
Phone(301) 823-5999
Fax(301) 823-5990
Organization SubpartNo
Authorized OfficialKijana N NixCeo · (301) 823-5999
Enumeration DateMay 27, 2022
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1720727753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
10274 LAKE ARBOR WAY STE 201, Mitchellville, MD 20721
Open in Google Maps ↗

Other Identifiers 2

Medicaid319072200MD
Other1043368756MD · Npi

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nix Direct Access Pediatrics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nix Direct Access Pediatrics PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kijana Nix, MD,FAAP
Pediatric Medicine
NPI 1043368756
455 S MAIN ST STE 103
Hinesville, GA 31313
(912) 408-6868
✔ PECOS557 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 Nix Direct Access Pediatrics PC's NPI number?

The NPI number for Nix Direct Access Pediatrics PC is 1720727753. It was assigned to this organization in the NPPES registry on May 27, 2022.

Where is Nix Direct Access Pediatrics PC located?

Nix Direct Access Pediatrics PC is located at 10274 Lake Arbor Way Ste 201, Mitchellville, MD 20721. The listed phone number is (301) 823-5999.

What is Nix Direct Access Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Nix Direct Access Pediatrics PC enrolled in Medicare?

Yes. Nix Direct Access Pediatrics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nix Direct Access Pediatrics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Nix Direct Access Pediatrics PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nix Direct Access Pediatrics PC was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.