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

Dr. Michael Wade Dixon, DPM

Individual provider Podiatrist · NPI 1477557924

Dr. Michael Wade Dixon, DPM is a Podiatry in Kennesaw, Georgia. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Licensed in
GA
In the registry since
2005
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

440 Ernest W Barrett Pkwy NW Ste 62
Kennesaw, GA 30144-4918
Phone: (770) 422-0280
Fax: (770) 426-5388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 000961 (GA)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence 000961 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 000961 (GA)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 000961 (GA)

Record details

NPI number1477557924
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESJanuary 14, 2014
Mailing address440 Ernest W Barrett Pkwy Nw, Ste 62, Kennesaw, GA 30144-4918

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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