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NPI 1093026601
● Active Type 2 · Organization
John Azar-Dickens, Ph.d.,pc
Psychologist · Rome, GA · NPI 1093026601
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Enumerated 2010 · 15 years on NPI
John Azar-Dickens, Ph.d.,pc is 1 of 1487 psychologist organizations in Georgia.
NPI age
15 years
Enumerated 2010-06-29
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Azar-Dickens
Licensed Psychologist
Last NPPES update
2010-06-29
Source: monthly bulk 2026-05
How this organization compares
Across 1487 active psychologist providers in Georgia.
NPI age
15 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2010 → 2026
2010-06 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
109 John Maddox Dr Nw
Rome, GA 301651451
📞 7062326743
Mailing address
Po Box 1008
Rome, GA 301621008
📞 7062326743
Authorized official
John Azar-Dickens, PH.D.
Licensed Psychologist
📞 7062340659
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Psychologist
Primary
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...
GA license #002459 taxonomy 103TC0700X
Identifiers
Type Value Notes
05 (GA)
00895837J
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.