Decia Nicole Dixon, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003490 Issued in GA

Practice address

2751 Buford Hwy NE Ste 410
Atlanta, GA 30324-5457

Phone

(678) 524-5325

NPI assigned

Mar 25, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Decia Dixon PHD LLC

  dba The Parent Child Practice

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1609385673
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326347568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245457",
            "telephone_number": "678-649-1940",
            "fax_number": "678-701-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245457",
            "telephone_number": "678-524-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Windy Hill Rd SE",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300678664",
            "country_code": "US",
            "telephone_number": "770-953-6401 x316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DECIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "003490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125580A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Grace Dixon, PA
• Angela Denise Dixon, APRN
• Brandon Dixon, MD, PHD
• Chelsea Chimere Dixon, CPHT
• Danielle Nicole Dixon
• Diamond Dixon
• Ellis Howard Dixon III, MD
• Jasmine Dixon, HAIR LOSS SPECIALIST
• Jennifer Dixon, MS CCC-SLP
• Jordan Starr Lopez Dixon, PA-C

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.