Jerome a Dixon D O LLC
NPI 1508932955 · Family Medicine Physician · Campbellsville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerome a Dixon D O LLC is a Family Medicine Physician organization in Campbellsville, KY (NPI 1508932955).
Provider details
- NPI number
- 1508932955
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nissan Friedman, Chief Executive Officer(845) 521-9991
- License
- 3007692 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jerome A. Dixon, D.O., P.s.c.
- Former legal business name
- Jerome A. Dixon, D.O., P.s.c.
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Jerome a Dixon D O LLC's NPI number?
- Jerome a Dixon D O LLC's National Provider Identifier (NPI) is 1508932955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerome a Dixon D O LLC?
- Jerome a Dixon D O LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jerome a Dixon D O LLC located?
- Jerome a Dixon D O LLC's practice location on file with NPPES is 150 W Bear Track Rd, Campbellsville, KY 42718-8709.
- What is Jerome a Dixon D O LLC's phone number?
- The practice phone number listed in the NPPES registry for Jerome a Dixon D O LLC is (270) 465-8133.
- Does Jerome a Dixon D O LLC accept Medicare?
- Jerome a Dixon D O LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jerome a Dixon D O LLC?
- The authorized official listed on Jerome a Dixon D O LLC's NPPES record is Nissan Friedman, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerome a Dixon D O LLC's NPI active?
- Yes — Jerome a Dixon D O LLC's NPI (1508932955) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.