KENYON KENYATTA DIXON LPC
NPI 1124398789
Counselor - Professional in Macon, GA
About Kenyon Kenyatta Dixon Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENYON KENYATTA DIXON LPC (NPI 1124398789) is an individual professional provider in Macon, Georgia, licensed in Georgia (LPC006899) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cordele, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenyon Kenyatta Dixon Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kenyon Dixon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Albany, GA 31707
- Reassigned Medicare billing, Georgia enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31210
MACON, GA 31210
MACON, GA 31210
MACON, GA 31210
MACON, GA 31210
MACON, GA 31210
MACON, GA 31210
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 Kenyon Dixon's NPI number?
The NPI number for Kenyon Dixon is 1124398789. It was assigned to this individual provider in the NPPES registry on January 12, 2012.
Where is Kenyon Dixon located?
Kenyon Dixon practices at 6055 Lakeside Commons Dr Ste 320, Macon, GA 31210. The listed phone number is (478) 238-9344.
What is Kenyon Dixon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kenyon Dixon enrolled in Medicare?
Yes. Kenyon Dixon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenyon Dixon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenyon Dixon reassigns Medicare benefits to 2 organizations: Personal Recovery Network LLC (Stockbridge, GA) and Albany Area Community Svc. Board (Albany, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenyon Dixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenyon Dixon was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kenyon Kenyatta Dixon, LPC · NPI 1124398789
Professional provider in Macon, Georgia. Individual provider, active in the CMS NPPES registry since January 12, 2012.
## Identity
- **NPI:** 1124398789 (Entity type: Individual)
- **Enumerated:** January 12, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC006899 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6055 LAKESIDE COMMONS DR STE 320, Macon, GA 31210-5791
- **Phone:** (478) 238-9344
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA); Albany Area Community Svc. Board (NPI 1063464212, Albany, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124398789) · Data from the CMS NPPES public registry.