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Dr. Samuel Jermaine Maddox

Family Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist Intellectual & Developmental Disabilities

1777 Northeast Expy Ne Suite 175
Atlanta , Georgia 30329-2480

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Clinical Child & Adolescent Psychologist
  • Family Psychologist
  • Intellectual & Developmental Disabilities

Languages spoken

  • English

Location

1777 Northeast Expy Ne Suite 175 Atlanta , Georgia 30329-2480

First Address

  • Dr. Samuel Jermaine Maddox
  • 1777 Northeast Expy Ne Suite 175
  • Atlanta, GA
  • Zip : 30329-2480
  • Fax : (770) 788-7662
  • Phone : (678) 523-0969

Second Address

  • Dr. Samuel Jermaine Maddox
  • 1777 Northeast Expy Ne Suite 175
  • Atlanta, GA
  • Zip : 30329-2480
  • Fax : (770) 788-7662
  • Phone : (678) 523-0969

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FAQs


Where did Dr. Samuel Jermaine Maddox attend graduate school?

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Where did Dr. Samuel Jermaine Maddox do his residency?

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Where did Dr. Samuel Jermaine Maddox do his fellowship?

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Is Dr. Samuel Jermaine Maddox board certified?

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What type of doctor is Dr. Samuel Jermaine Maddox

Clinical Psychologist

In what state does Dr. Samuel Jermaine Maddox practice in?

Georgia

Where is Dr. Samuel Jermaine Maddox ’s practice located?

1777 Northeast Expy Ne Suite 175 , Atlanta, Georgia, 30329-2480

What is Dr. Samuel Jermaine Maddox ’s gender?

Male

Is Dr. Samuel Jermaine Maddox a sole practitioner?

No

Is Dr. Samuel Jermaine Maddox accepting new patients?

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What languages does Dr. Samuel Jermaine Maddox speak?

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Does Dr. Samuel Jermaine Maddox accept insurance?

Yes, Dr. Samuel Jermaine Maddox accepts insurance

Does Dr. Samuel Jermaine Maddox offers telemedicine?

Dr. Samuel Jermaine Maddox has not indicated if he offers telemedicine

What is Dr. Samuel Jermaine Maddox ’s professional license number?

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What is Dr. Samuel Jermaine Maddox ’s NPI number?

1093904260

Does Dr. Samuel Jermaine Maddox have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist PSY002983 GA
Y 103TC0700X Clinical Psychologist PSY002983 GA
N 103TC2200X Clinical Child & Adolescent Psychologist PSY002983 GA
N 103TF0000X Family Psychologist PSY002983 GA
N 103TM1800X Intellectual & Developmental Disabilities PSY002983 GA

National Provider Identifier

NPI 1093904260
Provider Name Dr. Samuel Jermaine Maddox
First Address Atlanta, GA 30329-2480
Second Address Atlanta, GA 30329-2480
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 23/10/2007
Last Update Date 23/10/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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