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DR. SAMUEL JERMAINE MADDOX PH.D.
NPI 1093904260
Psychologist - Clinical in Atlanta, GA

Active since October 23, 2007
1777 NORTHEAST EXPY NE, SUITE 175, ATLANTA, GA 30329(678) 523-0969(770) 788-7662 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Jermaine Maddox Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL JERMAINE MADDOX PH.D. (NPI 1093904260) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY002983) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1093904260
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL JERMAINE MADDOXCredential: PH.D.
Location Address1777 NORTHEAST EXPY NE, SUITE 175Atlanta, GA 30329-2480
Mailing Address1777 Northeast Expy Ne, Suite 175Atlanta, GA 30329-2480 · (678) 523-0969 · Fax (770) 788-7662
Phone(678) 523-0969
Fax(770) 788-7662
Sole ProprietorYes
Enumeration DateOctober 23, 2007
✔ NPI 1093904260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY002983
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY002983 (GA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY002983 (GA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY002983 (GA)
1777 NORTHEAST EXPY NE, Atlanta, GA 30329
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH TOWLES
Genetic Counselor, MS
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-1003
DENISE MUNKOMBWE MAKALA MD
Pediatrics
1777 NORTHEAST EXPY NE, ZALIK BEHAVIORAL AND MENTAL HEALTH CENTER
BROOKHAVEN, GA 30329
Dekalb County (404) 785-7878
DR. MICHALE SFERRA PHD
Psychologist
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-7878
SAMEIA MOHAMMED UDOJI NP
Nurse Practitioner (Psychiatric/Mental Health)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-8200
DR. CHRIS DANIELL PHD
Psychologist (Clinical)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (513) 476-9949
KELLY PETERSON LCSW
Counselor (Mental Health)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-8200
MS. MARY BETH STARK M.S.CCC-SLP
Speech-Language Pathologist
1777 NORTHEAST EXPY NE, SUITE 175
ATLANTA, GA 30329
Dekalb County (404) 386-1324
CARINA PLATNER APRN
Nurse Practitioner (Psychiatric/Mental Health)
1777 NORTHEAST EXPY NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Maddox's NPI number?

The NPI number for Samuel Maddox is 1093904260. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Samuel Maddox located?

Samuel Maddox practices at 1777 Northeast Expy NE Suite 175, Atlanta, GA 30329. The listed phone number is (678) 523-0969.

What is Samuel Maddox's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Samuel Maddox accept?

Health plans from Alliant Health Plans, Inc. list Samuel Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Maddox was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.