MR. TY-RE LAMONT DIXON SR.
NPI 1902264492
Durable Medical Equipment & Medical Supplies - Customized Equipment in Fayetteville, GA

Active since January 29, 2016
220 SHORELINE DR., FAYETTEVILLE, GA 30215(404) 661-1800(770) 897-3777 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ty-re Lamont Dixon Sr. NPPES

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

MR. TY-RE LAMONT DIXON SR. (NPI 1902264492) is an individual customized equipment provider in Fayetteville, Georgia and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1902264492
Entity TypeIndividualMale
Primary Taxonomy332BC3200X
Provider Legal NameMR. TY-RE LAMONT DIXON SR.
Location Address220 SHORELINE DR.Fayetteville, GA 30215
Mailing Address220 Shoreline Dr.Fayetteville, GA 30215 · (404) 661-1800 · Fax (770) 897-3777
Fax(770) 897-3777
Sole ProprietorYes
Enumeration DateJanuary 29, 2016
NPI 1902264492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

220 SHORELINE DR., Fayetteville, GA 30215

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 Ty-re Dixon's NPI number?

The NPI number for Ty-re Dixon is 1902264492. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Where is Ty-re Dixon located?

Ty-re Dixon practices at 220 Shoreline Dr., Fayetteville, GA 30215. The listed phone number is (404) 661-1800.

What is Ty-re Dixon's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Ty-re Dixon was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.