Organization · Type 2 NPI

Jerome A Dixon D O LLC

Family Medicine Physician · Campbellsville, KY

NPI number 1508932955 Active

Practice location

150 W Bear Track Rd
Campbellsville, KY 42718-8709

Fax (270) 789-1543

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	02320 (KY)
Family Nurse Practitioner	363LF0000X	4091P (KY)
Family Nurse Practitioner	363LF0000X	3007692 (KY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

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NPI record

NPI: 1508932955
Entity type: Organization (Type 2)
Issued: Nov 28, 2006
Last updated: May 20, 2026
Status: Active

Other names

<unavail>
Jerome A. Dixon, D.o., P.s.c. · doing business as
Jerome A. Dixon, D.o., P.s.c. · former legal business name

Authorized official

Nissan Friedman
Chief Executive Officer
(845) 521-9991

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508932955

Jerome A Dixon D O LLC's National Provider Identifier is 1508932955, issued on Nov 28, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Campbellsville, KY. The record was last updated on May 20, 2026.