Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Detra K Dixon, FNP

Individual provider Family Nurse Practitioner · NPI 1376101196

Detra K Dixon, FNP is a Nurse Practitioner in Macon, Georgia. Qualified in 2010, 16 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Licensed in
GA
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

227 Amalie Dr
Macon, GA 31220-2667
Phone: (478) 731-9521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 902 N 7th St, Cordele, GA 31015-3270 — (229) 276-3100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP213793 (GA)

Record details

NPI number1376101196
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 5, 2019
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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