Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel Jermaine Maddox, PHD

Individual provider Clinical Psychologist · NPI 1093904260

Dr. Samuel Jermaine Maddox, PHD is a Clinical Psychologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1777 NE Expy NE Ste 175
Atlanta, GA 30329-2480
Phone: (678) 523-0969
Fax: (770) 788-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY002983 (GA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY002983 (GA)
Family Psychologist Taxonomy 103TF0000X · Licence PSY002983 (GA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PSY002983 (GA)

Record details

NPI number1093904260
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 23, 2007
Last updated in NPPESOctober 23, 2007

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