Healthcare Provider Details

I. General information

NPI: 1316962319
Provider Name (Legal Business Name): JAMES MATHEW DIXON R,CT,MR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 13TH AVE SE
DECATUR AL
35601-4300
US

IV. Provider business mailing address

108 CHESTNUT LN
SHEFFIELD AL
35660-6802
US

V. Phone/Fax

Practice location:
  • Phone: 256-350-7779
  • Fax: 256-350-2272
Mailing address:
  • Phone: 256-389-3909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number302643
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number302643
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number302643
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: