Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
BARRETT PARKWAY FOOT AND LEG
Active
Organization
BARRETT PARKWAY FOOT AND LEG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WADE DIXON DPM (PRESIDENT CEO)
(770) 422-0280
Entity
Organization
Contact information
Practice address
440 ERNEST W BARRETT PKWY NW, STE 62, KENNESAW, GA 30144-4918
(770) 042-2028
(770) 426-5388
Mailing address
440 ERNEST W BARRETT PKWY NW, STE 62, KENNESAW, GA 30144-4918
(770) 042-2028
(770) 426-5388
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
GA000961
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000954643C
—
GA
Enumeration date
06/28/2005
Last updated
01/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up