Individual provider · Type 1 NPI
Johnathon Dickerson
Contractor · Starkville, MS
Practice location
7662 New Light Rd
Starkville, MS 39759-5640
Other practice locations
- 1351 John Robert Dr, Morrow, GA 30260-1715 · (662) 694-2556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | None listed |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
Another provider at this address
About NPI 1235089962
Johnathon Dickerson's National Provider Identifier is 1235089962, issued on Feb 2, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Starkville, MS. The record was last updated on Feb 2, 2026.