Alan Tyler Dixon I, FSO
Specialist, Research Study in Clarksville, TN. Individual provider (NPI-1).
NPI number1043674112
StatusActive
Last updated in NPPESOct 15, 2025
Details
- NPI
- 1043674112
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alan Tyler Dixon I
- Credential
- FSO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2016
- Certification date
- Oct 15, 2025
- Last updated
- Oct 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744R1102X | Specialist, Research Study | 11015479 | TN | Yes |
Other names
- Pathos Crescendo (Other Name)
Practice location
611 Madison St Apt 306Clarksville, TN 37040-4881
Phone 615-719-0992
Mailing address
611 Madison St Apt 306Alan Tyler Dixon I
Clarksville, TN 37040-4881
Phone 615-719-0992
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