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

Madison Hardt Dixon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417696360

Madison Hardt Dixon, MD is an Internal Medicine in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
4
Licensed in
MA, RI
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1085 N Main St
Providence, RI 02904-5719
Phone: (401) 415-4348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD20655 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence LP05592 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1027990 (MA)

Record details

NPI number1417696360
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address847 Rogers St Ste 201, Lowell, MA 01852-4345

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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