NPI age
10 years
Enumerated 2016-01-29
● Active
Type 1 · Individual
MR. Ty-Re Lamont Dixon SR.
Dixon is 1 of 1 durable medical equipment & medical supplies providers in Fayetteville and 1 of 192 in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-01-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 192 active durable medical equipment & medical supplies providers in Georgia.
NPI age
10 years
≈ at median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Practice location
220 Shoreline Dr.
Fayetteville, GA 30215
Mailing address
220 Shoreline Dr.
Fayetteville, GA 30215
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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