MR. ANTWAN TAVARIOUS DIXON LPC
NPI 1295203610
Counselor - Professional in Kennesaw, GA
About Mr. Antwan Tavarious Dixon Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANTWAN TAVARIOUS DIXON LPC (NPI 1295203610) is an individual professional provider in Kennesaw, Georgia, licensed in Georgia (LPC012255) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Antwan Tavarious 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.
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.
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 Antwan Dixon's NPI number?
The NPI number for Antwan Dixon is 1295203610. It was assigned to this individual provider in the NPPES registry on November 2, 2018.
Where is Antwan Dixon located?
Antwan Dixon practices at 2782 N Cobb Pkwy, Kennesaw, GA 30152. The listed phone number is (866) 389-2727.
What is Antwan Dixon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Antwan Dixon enrolled in Medicare?
Yes. Antwan 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.
What insurance does Antwan Dixon accept?
Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health and UnitedHealthcare list Antwan Dixon 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 Antwan Dixon was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Antwan Tavarious Dixon, LPC · NPI 1295203610
Professional provider in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since November 2, 2018.
## Identity
- **NPI:** 1295203610 (Entity type: Individual)
- **Enumerated:** November 2, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC012255 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2782 N COBB PKWY, Kennesaw, GA 30152-3472
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295203610) · Data from the CMS NPPES public registry.