DIXON SOCIAL INTERACTIVE SERVICES, INC.
NPI 1770715294
Community/Behavioral Health in Kinston, NC

Q: What is Dixon Social Interactive Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 17, 2009

1202 W VERNON AVE, KINSTON, NC 28501(252) 353-0100(252) 353-0600 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dixon Social Interactive Services, Inc. NPPES

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

DIXON SOCIAL INTERACTIVE SERVICES, INC. (NPI 1770715294) is a healthcare organization registered as a community/behavioral health in Kinston, North Carolina and active in the NPI registry since August 2009. The organization lists Derria Nolen Dixon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770715294

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDIXON SOCIAL INTERACTIVE SERVICES, INC.

Location Address1202 W VERNON AVEKinston, NC 28501-3526

Mailing Address2105 King Lear CtGreenville, NC 27858-8504 · (252) 353-0100

Phone(252) 353-0100

Fax(252) 353-0600

Organization SubpartNo

Authorized OfficialDerria Nolen DixonAdministrator · (252) 353-0100

Enumeration DateAugust 17, 2009

✔ NPI 1770715294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

1202 W VERNON AVE, Kinston, NC 28501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dixon Social Interactive Services, Inc. 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 Dixon Social Interactive Services, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Moore, LCSWA, MSW

Clinical Social Worker

NPI 1740692128

313 CLIFTON ST
Greenville, NC 27858

(252) 353-0100

✔ PECOS25 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 Dixon Social Interactive Services, Inc.'s NPI number?

The NPI number for Dixon Social Interactive Services, Inc. is 1770715294. It was assigned to this organization in the NPPES registry on August 17, 2009.

Where is Dixon Social Interactive Services, Inc. located?

Dixon Social Interactive Services, Inc. is located at 1202 W Vernon Ave, Kinston, NC 28501. The listed phone number is (252) 353-0100.

What is Dixon Social Interactive Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Dixon Social Interactive Services, Inc. enrolled in Medicare?

Yes. Dixon Social Interactive Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dixon Social Interactive Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Dixon Social Interactive Services, Inc.. 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.

What insurance does Dixon Social Interactive Services, Inc. accept?

Health plans from Cigna Healthcare list Dixon Social Interactive Services, Inc. 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 Dixon Social Interactive Services, Inc. was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.